胰头癌动脉造影表现及介入治疗的短期疗效探讨

目的探讨胰头癌DSA表现及介入治疗的短期疗效。方法分析14例胰头癌患者超选择动脉造影表现及经胰十二指肠上动脉灌注化疗的短期临床疗效。结果经胰十二脂肠上动脉造影显示肿瘤染色、肿瘤供血动脉及血管受侵率高于经腹腔干或胰十二指肠下动脉造影。经胰十二指肠上动脉灌注化疗后患者临床症状不同程度缓解,大部分患者肿瘤缩小。结论胰头癌经胰十二指肠上动脉造影肿瘤染色、肿瘤供血动脉及血管受侵显示率高,经胰十二指肠上动脉灌注化疗短期疗效好。

Objective To investigate DSA manifestation and effect of intervene therapy in cancer of the head of the pancreas. Methods DSA findings and the peroarterial chemotherapy outcome of 14 patients with cancer of the head of the pancreas were analyzed. Results More tumor stains, blood supply arteries and artery invasions were seen by superior pancreaticoduodenal artery DSA than those by celiac axis or by inferior pancreaticoduodenal artery. Most symptoms were relieved in 2 months after intervene chemotherapy. Conclusion Superselective DSA can provide important information for cancer of the head of the pancreas. Short-term outcome of intervene chemotherapy is good for cancer of the head of the pancreas.