原发性肝细胞癌合并门静脉癌栓形成的影像学诊断与综合治疗

Imnging diagnosis and multidiscipllnary therapy of portal vein tumor thrombosis in patients with hepatocellure carcinoma

随着影像学技术的提高和临床应用,针对原发性肝细胞癌合并门静脉癌栓诊断更加准确,治疗方法如外科手术、化、放疗和微创介入手术治疗也逐渐增多,疗效也明显提高。既往肝癌合并门静脉癌栓被认为是肝动脉化疗栓塞术的禁忌症,但现有研究表明此观点以逐渐改变,本文就其在临床工作中的诊断与治疗进行综述。

With development of imaging techniques applications for primary hepatocellular carcinoma（hepatocellular carcinoma） with portal vein thrombosis（portal vein tumor thrombus,PVTT）,more accurate diagnosis,treatment methods such as surgery,chemotherapy and radiotherapy,and minimally invasive interventional surgery is gradually increasing,and its efficacy has improved markedly.Hepatocellular carcinoma with portal vein thrombosis was considered to be hepatic arterial chemoembolization（TACE） contraindications before,but recent studies have shown this view gradually changed.This paper reviewed the clinical diagnosis and treatment in this context.