选择性肝动脉栓塞治疗多囊肝的相关研究  

Selective hepatic arterial embolization for the treatment of polycystic liver:its relevant study

作　　者：阎洁羽[1] 段峰[1] 王茂强[1] 

机构地区：[1]中国人民解放军总医院介入放射科,北京100853

出　　处：《介入放射学杂志》2012年第12期1054-1058,共5页Journal of Interventional Radiology

摘　　要：传统治疗症状性多囊肝的方法有外科开窗、经腹腔镜开窗、部分性肝切除、肝脏移植、经皮穿刺抽吸及注入硬化剂治疗等,均存在一定缺陷。近年发现,在常染色体显性遗传性多囊肾病患者中,肝脏的囊肿由发育良好的肝动脉分支参与供血,门静脉不参与供血,前者被认为是囊肿液体的"来源",因此用经导管动脉栓塞术闭塞供应囊肿的肝动脉分支后,可阻断液体来源、使囊肿缩小甚至消失,从而缓解患者的症状。The traditional treatments for symptomatic polycystic liver disease include open surgical cyst fenestration, laparoscopic fenestration, partial hepatectomy, hepatic transplantation, percntaneous cyst aspiration with or without sclerosing agent injection, etc. However, these techniques have some certain disadvantages. In recent years it has been noted that in patients with autosomal dominant polycystic kidney disease the well developed hepatic arteries participate in the blood supply of the hepatic cysts, which is thought to be the presumed source of the cystic fluid accumulations, while the portal vein does not participate in the blood supply of the hepatic cysts. Therefore, super-selective embolization of the hepatic artery branches that supply major hepatic cysts can lead to the shrinkage or even the disappearance of the cysts, thereby relieving the symptoms of patients.

关 键 词：多囊肝 多囊肾 常染色体显性遗传性 栓塞 治疗性 

分 类 号：R575.8[医药卫生—消化系统]