DSA评价原发性肝癌动脉化疗栓塞术后的血供改变  

作　　者：唐上坤[1] 何伟明[1] 罗祖光[1] 郑容[1] 

机构地区：[1]广东省茂名市广东医学院第三附属医院医学影像科,525011

出　　处：《当代医学》2011年第15期17-18,共2页Contemporary Medicine

摘　　要：目的探讨数字减影血管造影(DSA)在评价原发性肝癌动脉化疗栓塞术(TACE)后血供改变的作用,及其在评价治疗效果和指导进一步治疗中的临床意义。方法动态观察对比分析50例原发性肝癌介入TACE治疗术后肿瘤供血动脉血管形态学和血流动力学的变化。结果 50例患者TACE治疗1.5～5个月后DSA复查,肿瘤平均体积缩小约28.6%;肿瘤血管网平均减少约33.5%;动静脉瘘征象平均减少35%;13例(26.2%,13/50)有明显新生血供形成;12例门脉癌栓病例中有3例明显减少;4例出现肝内小转移灶。结论利用DSA评价原发性肝癌TACE介入治疗后的血供改变,分析DSA表现,可明确治疗效果,对制定个体化的后续治疗方案和提高疗效具有重要意义。Objective Of digital subtraction angiography （DSA） in the evaluation of primary liver artery chemoembolization （TACE） for the change in the role of blood,and in evaluating theeffectiveness of treatment and guide further treatment of clinical significance.Methods Dynamic observation of 50 cases of primary liver cancer compared interventionaltreatment of postoperative TACE tumor feeding artery morphology andhemodynamics.Results TACE treatment of 50 patients,1.5 to 5 months after the DSA review,mean tumor volume decrease by 28.6%;cancer tumor vascular network averagereduced by about 33.5%,13 cases （26.2%,13/50） there was the formation of new blood supply;12 patients withportal vein tumor thrombus cases,3 were significantly reduced;4 cases of small hepatic metastases Conclusion DSA evaluation of the use of primary liver cancer after TACE intervention changes inblood supply,DSA analysis of the performance of a clear treatment effect may be on thedevelopment of individualized treatment programs and improve the efficacy of follow-up is important.

关 键 词：原发性肝癌 动脉化疗栓塞术 血管数字减影(DSA) 影像学评价 肿瘤血供 

分 类 号：R735.7[医药卫生—肿瘤]