寄生性供血在原发性肝癌介入治疗中的意义.docVIP

寄生性供血在原发性肝癌介入治疗中的意义 方晓云 （锡山人民医院，江苏 无锡 214011） 【摘要】 目的：探讨原发性肝癌的寄生供血及其在肝癌介入治疗中的价值。方法：本组40例原发性肝癌患者行常规腹腔动脉造影及寄生性血管探查，并对其行超选择性插管及化疗栓塞治疗。结果：40例患者共见44支肝外寄生性血管，其中，肠系膜上动脉15支，膈动脉10支，胃十二指肠动脉和胃网膜动脉9支，胃左动脉5支，右肋间动脉2支，右肾上腺动脉2支，右内乳动脉1支。7支肝寄生动脉因未能成功超选择性插管而只予化疗药物灌注治疗，其余37支寄生性血管均行超选择性插管和化疗栓塞治疗。结论：原发性肝癌的寄生供血较为常见和多变，对寄生性血管的栓塞在肝癌的介入治疗中具有重要的意义。 【关键词】 原发性肝癌 寄生性供血 介入治疗 The significance of parasitic blood in interventional treatment of primary hepatic cancer Fang Xiaoyun. peoples Hospital of Xishan, Wuxi, Jiangsu 214011 【Abstract】 Objective To study parasitic blood supply of primary hepatic carcinoma and its value in the interventional treatment of liver cancer. Methods this set of 40 cases of primary hepatic cancer patients do regular celiac artery angiography and parasitic vascular probes and superselective intubation and chemoembolization. Results a total of 40 patients seen 44 external parasitic blood vessels of the liver, of which 15 branches of the superior mesenteric artery, and 10 branches of inferior phrenic artery, 9 branches of gastroduodenal artery and gastroepiploic artery , 5 branches of left gastric artery, 2 branches of right internal intercostal artery, 2 branches of right suprarenal artery,1 branche of right internal mammary artery. 7 branches parasitic liver artery with failing to superselective intubation and only to the chemotherapy drug infusion therapy , the rest of the 37 branches parasitic vessels have done the super selective intubation and chemotherapy embolization. Conclusion parasitic blood supply of primary hepatic cancer is more common and changeable ,there is great significance on parasitic vascular embolization in interventional treatment of liver cancer . 【Key words】Primary hepatic cancer parasitic blood supply interventional treatment 中图分类号:R735.7; R815 文献标识码：A 原发性肝癌的寄生性供血是指供养肝癌的动脉除肝动脉以外，邻近其他器官或组织的滋养动脉直接参与肝癌供血。随着肝动脉化疗栓塞术（TACE）的广泛应用，发现原发性肝癌中有寄生性供血者越来越多，认识肝癌的寄生性供血有助于指导治疗和提高疗效，对其预后有着重要作用。 1 材料与方法 收集我科2004年12月至2008年5月原发性肝