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肝动脉解剖变异在肝癌介入治疗中的临床价值

Clinical Value of Anatomical Variation of Hepatic Artery in Interventional Therapy for HCC

  • 摘要: 目的 探讨肝动脉解剖变异在肝癌介入治疗中的临床价值。方法 本文收集2003年1月~2004年6月在同济医院放射科做肝动脉化疗栓塞术(TACE)和肝动脉栓塞(TAE)的中晚期肝癌150例,将每例病人的肝动脉造影所见与临床资料及随访结果一起进行分析。结果 150例中,有肝动脉变异者23例,占全部病例的15.3%。结论 表明肝动脉变异发生率较高。同时发现有些病例虽然肝动脉及其分支无变异,但肝动脉走行位置变异,对选择性肝动脉插管有较大影响。作者对肝动脉变异的类型、肝动脉走行位置异常、以及它们在肝癌介入治疗中的意义进行了讨论。

     

    Abstract: Objective  To explore the clinical value of anatomical variation of hepatic artery in interventional therapy for HCC. Methods  This article ret rospectively analysed and compared hepatical arteriograph result s with clinical data and follow-up result s of 150 patient s with intermediate or advanced HCC, ret reated by TAE or TAI. Results  Of 150 cases, there were 23 cases with anatomical variation of hepatic artery, and the ratio is 15. 3 %. Conclusion  It indicated the incidence of anatomical variation of hepatic artery is relatively high. Meanwhile, the localization variation of hepatic artery, although without const ructional variation, had noticeable influence on hepatic artery catheterization. The author summarized the const ructional and localization variation types of hepatic artery, and discussed their significance in interventional therapy for HCC.

     

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