中晚期原发性肝癌的肝外供血类型分析及血管内介入治疗的临床意义.docVIP

精品论文 参考文献 中晚期原发性肝癌的肝外供血类型分析及血管内介入治疗的临床意义 1.南方医科大学南方医院介入科，广东，广州510515；2.广西中医药大学第一附属医院介入科，广西 南宁 530021；3.广西壮族自治区妇幼保健院放射科，530021. 【摘要】 目的 探讨中晚期肝癌肝外动脉供血的规律及介入治疗策略。材料和方法 收集接受肝动脉化疗栓塞术的210例肝外供血型的肝癌患者临床资料，其中男性 175 例；女性35 例。对其数字减影血管造影（DSA）的图像进行回顾性分析。结果 本研究中的中晚期肝癌的肝外供血分别是来源于肠系膜上动脉75支（34.1%），右膈下动脉50支（22.7%），胃左动脉25支（11.4%），胃十二指肠动脉28支（12.7%），右肾上腺动脉30支（13.6%），右侧肋间动脉33支（15.0%），右侧腰动脉25支（11.4%），脾动脉2支（0.9%），胸廓内动脉3支（1.4%），右肾动脉1支（0.5%），中结肠动脉1支（0.5%），睾丸动脉1支（0.5%）。形成肝外动脉供血的原发性肝癌的原因较多，包括肿瘤直径，肿瘤在肝内的部位，肝动脉化疗栓塞术的次数以及栓塞技术。结论 中晚期肝癌的肝外供血发生率较高,了解中晚期肝癌的肝外动脉供血特点和形成机制，对肝癌肝外供血动脉进行超选择性栓塞治疗，提高中晚期肝癌患者的疗效有着重要的临床意义。 关键词 中晚期原发性肝癌；肝外动脉供血；动脉栓塞，介入治疗 【中图分类号】R815【文献标识码】A【文章编号】1001-5213(2016)08-0259-02 Extrahepatic arterial blood supply of middle-late stage primary hepatic carcinoma and the endovascular Interventional Therapy Huang De-jia1,2,Luo Yao-chang2, Huang Jun-zhen2,He Hai-yuan2,Huang Hao-jia2,Jiang Qing-hua3,Li Yan-hao1* 1 Department of Interventional Radiology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515 2 Department of Interventional Radiology, The First Affiliated Hospital of Guangxi Traditional Chinese Medical University, Nanning, Guangxi 530021, 3 Department of Radiology of Guangxi Maternal and child health care hospital, Nanning, Guangxi 530021. 【Abstract】Objective To investigate the mechanism of extrahepatic arterial blood supply of middle-late stage hepatic carcinoma and the interventional treatment. Method A total of 210 cases with middle-late stage hepatic carcinoma, which received transarterial chemoembolization (TACE) were enrolled, including 175 males and 35 females. The DSA images of which were analyzed retrospectively. Result Of 274 extrahepatic arteries supplied hepatic carcinoma,which composed of 75superior mesenteric arteries(34.1%), 50 right inferior phrenic arteries(22.7%),25 left gastric artery(11.4%), 28 gastroduodenal arteries(12.7%), 30 right adrenal glands arteries(13.6%),33 right intercostal arteries(15%), 25 right lumbar arteries(11.4%),2 s