原发性肝癌寄生性供血的介入治疗

The parasitic feeding vessels for interventional therapy in primary hepatic carcinoma

目的:探讨原发性肝癌的寄生性供血及其对肝癌介入治疗的意义。方法:本组32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(TACE)。结果:32例患者共见36条肝外寄生性血管,其中膈动脉(12/36);胃十二指肠动脉及胃网膜动脉(10/36);胃左动脉(6/36)占多数。6条肝外营养血管因未能成功行超选择性插管而只予化疗药灌注治疗,其余30条肝外营养血管均行超选择性插管和化疗栓塞治疗。结论:原发性肝癌,特别是晚期肝癌,寄生性供血较为常见和多变,对肝癌的TACE治疗具有重要的意义。

Objective：To investigate the value of the parasitic feeding vessels for interventional therapy in primary hepatic carcinoma. Methods：32 eases with primary hepatic cancer were performed routine celiacartery angiography and explored the parasitic tumor-feeding artery to hepatic carcinoma, then subjected to superseleetive earmula and transcatheter arterial ehemoembolization （TACE）. Results： 36 parasitic tumor-feeding arteries of hepatic cancers in 32 cases were founded, i.e., 12 parasitic vessels from diaphragmatic arteries, 10 parasitic vessels from gastroduodenal artery and gastroepiploie artery, 6 parasitic vessels from left gastric artery. 30 parasitic vessels were performed superseleetive transcatheter and transcatheter arterial chemotherapy, the others only performed transcatheter arterial ehemoem- bolization. Conclusion：The parasitic tumor-feeding artery is common and variant, which is important for TACE in primary hepatic cancer, especially in advanced hepatic carcinoma.