肝癌病理与肝癌血供的相关性研究

Relativity study between liver pathology and blood supply

目的探讨肝癌的病理特点及其与肝癌血供的相关关系,为临床治疗提供参考。方法回顾性分析34例肝癌患者的病理学特征,并将病理学分型与影像学资料相对照。结果 34例病灶,组织学类型为梁状型21例,占总数的61.8%,多为肝动脉供血型;其次为6例实体型,均为肝动脉供血型;假腺管型5例,血供类型分布较为分散,其中门静脉供血型和少血供型各2例,肝动脉供血型1例;纤维硬化型2例均为少血供型。肝癌不同病理组织学类型的血供类型有关联性(x2=11.140,P=0.004<0.05)。结论肝癌病理分型为梁状型及实体型的常以肝动脉供血为主,假腺管型及纤维硬化型血供较为复杂,除肝动脉供血外,亦可见其他供血类型。

Objective To explore the relativity study between liver pathology and blood supply and provide clinical reference for treatment.Methods 34 cases of liver cancer were retrospective analyzed,pathology and iconography characteristics were retrospectively summarized and contrast.Results 21 cases of beam were found in histologic type,accounting for 61.8% of the total,in which most lesions were hepatic artery supply;followed by 6 cases entity type have hepatic artery supply;5 cases of false gland type,which distribute the blood-supply;5 cases of fiber sclerosis type possess less blood supply type.There were a relevance between liver cancer pathological and histological types（the chi-square=11.140,P=0.0040.05）.Conclusion The commonest histologic types in liver cancer are the beam and entity type,in which most lesions are hepatic artery supply.False gland and fiber sclerosis type are less common,which also have a complex blood-supply.