复发性肝癌的肝动脉造影表现和介入治疗

Hepatic arteriographic findings and interventional treatment in the recurrent liver cancer

目 的 探讨复发性肝癌的造影诊断和介入治疗有关问题．方法 回顾性分析４０例原发性肝癌手术切除后复发的肝动脉造影表现和化疗栓塞治疗的结果。结果 造影表现归纳为三种类型：Ⅰ型（边缘复发型）１１例，占２７．５％，Ⅱ型（肝内播散型）２３例，占５７．５％，Ⅲ型（隐匿复发型）６例，占１５％．造影表现特点：血供相对不丰富，肿瘤结节染色浅淡，病灶常呈多发性；小病灶（直径＜２． ０ ｃｍ）多见．结论 介入治疗时复发性肝癌亦是一种有效的治疗方法，并且应该早期（手术后２～４个月）进行。

Objective To study angiographic diagnosis and interventional treatment of the recurrent liver cancer. Methods The hepatic arteriographic findings and chemoembolization treatment results in forty cases with recurrent primary liver cancer after surgery were retrospectively analysed. Results The angiographic manifestations were divided into three types:type I (recurrence on edge), 11 cases(27. 5%);type I (intrahepatic dissemination), 23 cases (57. 5 % ); type Ⅲ (insidious recurrence), 6 cases (15%). The characters of angiographic findings were as follows:the feeding vessels relatively not rich,pale staining of tumor nodules,the common multiple focuses and small tumor nodule (diameter of tumor<2. 0 cm). Conclusion Interventional therapy is considered as an effective method for the recurrent liver cancer and should be carried out early (two to four months after surgery).