原发性肝癌合并肝动脉-静脉瘘的介入治疗

Interventional Therapy for Hepatocellular Carcinoma with Artero-venous Fistula

目的探讨原发性肝癌合并肝动-静脉瘘的介入治疗中的体会。方法选取我院2006年9月-2007年12月18例原发性肝癌合并肝动脉-静脉瘘的介入患者，分析数字减影血管造影技术（DSA）造影检查结果及治疗手段。结果所选18例患者中10例血管造影可见明确瘘口；5例无法辨别确切瘘口；3例分流量大，导致血管影模糊。15例行动脉栓塞化疗，3例行动脉灌注化疗。结论对原发性肝癌合并肝动-静脉痿者，先行瘘口的封堵，而后行栓塞治疗，提高了肝癌的介入治疗疗效。

Objective To study the experience in undergoing interventional therapy of hepatocellular carcinoma （HCC） with arterio -venous fistula. Methods Select 18 interventional therapy patients of HCC with arterio - venous fistula from 2006 to 2007, analyze the DSA radiography inspection result and the treatment method. Results In the 18 cases patients, 10 cases revealed distinct fistula; 5 cases indefinite fistula; 3 cases shunted blood output greater causes the blurred images. 15 received transarterial chemotherapy and embolization （TACE）, 3 received arterial perfusion therapy. Conclusion With regard to hepatocellular carcinoma with arterio -venous fistula patients, the first blocking the arterio -venous fistula, then operating chemotherapy, that will improve the effect of the interventional therapy for HCC.