副肝动脉瘤破裂出血的诊断与治疗  

Diagnosis and treatment for rupture and bleeding of accessory hepatic aneurysms

作　　者：卢增新[1] 周建炜[1] 孔建国[1] 罗周烨 Lu Zengxin;Zhou Jianwei;Kong Jianguo;Luo Zhouye(Department of Radiology,Shaoxing People's Hospital,Shaoxing Hospital of Zhejiang University,Shaoxing 312000,Zhejiang Province,China)

机构地区：[1]绍兴市人民医院浙江大学绍兴医院放射科,浙江绍兴312000

出　　处：《中华消化外科杂志》2021年第2期246-249,共4页Chinese Journal of Digestive Surgery

基　　金：浙江省公益技术应用研究计划项目(LGF19H220002);浙江省医药卫生科技平台项目(2018ZD047);浙江省卫生健康科技计划面上项目(2021KY1140)。

摘　　要：副肝动脉瘤破裂出血临床罕见,通过CT血管造影检查(CTA)或多层面重建可为临床诊断提供可靠依据,介入手术是其主要治疗手段。本研究采用介入栓塞成功治疗1例副肝动脉瘤破裂出血病例。该病人副肝动脉变异属于Michels 4型,通过CTA与数字减影血管造影检查明确变异血管出血部位,经介入栓塞治疗后随访,其治疗效果良好。Rupture and bleeding of accessory hepatic aneurysms is clinically rare.Computed tomography angiography(CTA)or multislice reconstruction can provide reliable basis for clinical diagnosis.Interventional surgery is the main treatment method.A successful case of interventional embolization of ruptured accessory hepatic aneurysm in our hospital was reported.The accessory hepatic artery variation of this patient belongs to Michels type 4.The bleeding site of the variant artery was identified by CTA and digital subtraction angiography.Satisfactory results were obtained after interventional embolization and follow-up.

关 键 词：肝肿瘤 副肝动脉瘤 出血 栓塞 诊断 治疗 

分 类 号：R735.7[医药卫生—肿瘤]