原发性肝癌的肝外动脉供血与介入治疗

Extrahepatic arterial blood supply of primary hepatic cancer and interventional therapy

目的探讨原发性肝癌的肝外动脉供血规律,旨在指导介入治疗。方法对本组25例原发性肝癌患者行常规腹腔动脉造影及肝癌肝外供血动脉探查,分别超选择插管及化疗栓塞(TACE)。结果25例患者共见27条肝外供血动脉,其中膈动脉供血7例,肠系膜上动脉供血10例,两者占多数。22条肝外供血动脉行超选择插管和化疗栓塞术,其余5条因未能超选择插管而只行化疗药物灌注治疗。结论原发性肝癌的肝外动脉供血较为常见和多变,对肝外动脉供血支选择性栓塞治疗具有重要的临床意义。

Objective To study the regularity of blood supply from extrahepatic arteries to the primary hepatic cancer for its interventional therapy. Methods 25 cases with primary hepatic cancer were performed routine celiac artery angiography and explored the extrahepatic arteries to hepatic cancer, then superselective, cannula and TACE. Results Among 25 cases, 27 extrahepatic arteries to hepatic cancer were found, 7 extrahepatic arteries origin from diaphragmatic arteries, 10 extrahepatic arteries orion from superior mesenteric arterial. 22 extrahepatic arteries to hepatic cancer were performed superselective transcatheter and transcatheter arterial che moe mbolization （TACE）, the others were only performed transcatheter arterial che moe mbolization. Conclusions The extrahepatic arterial to hepatic cancer is common and various. TACE in extrahepatic arteries to hepatic cancer has very important clinical significance.