摘要
目的:探讨异常供血肝癌的介入治疗特点及微导管的使用在异常供血肝癌介入治疗中的作用。方法:对83例存在异常供血的肝癌患者的DSA介入资料,包括异常供血分支的来源、走形等特征以及微导管在该类肝癌介入治疗中的作用进行描述和分析。结果:异常供血肝癌83例,其中除肝动脉外参与供血的血管有:胃左动脉参与供血12例,膈下动脉参与供血12例,肠系膜上动脉参与供血51例,胃网膜右动脉参与供血6例,右侧肾上腺动脉参与供血2例。5F导管超选择性插管成功71例,其余病例均结合使用微导管,并成功超选择插管。结论:肝癌介入治疗中常常会遇见异常分支参与瘤体供血的病例,了解常见的异常血管分支来源及介入治疗中的技巧对于肝动脉化疗栓塞(TACE)有很重要的意义。
Objective:Investigation of abnormal blood supply of hepatic cancer angiographic manifestations and the use of micro catheter in the role of abnormal blood interventional therapy of liver cancer.Methods:Retrospective analysis of 83 cases of abnormal blood supply of Hepatic cancer DSA in data,To their blood supply origin,branch and contorts the anatomy and micro catheter in the class description and analysis on the the role of interventional therapy of hepatic cancer.Results:Abnormal blood flow of 83 cases of liver cancer,Which in addition to the hepatic artery in blood vessels:12cases of phrenic artery involved in blood,the superior mesenteric artery blood flow involved in 51 cases,right adrenal artery involved in blood in 2cases,12 cases left gastric artery involved in blood supply,retinal right gastric artery involved in 6patients with blood.Selective intubation using RH catheter successfully in 65 cases,catheter use Cobra super selective intubation success in 3,the use of RLG catheter selective intubation success in 3,after the failure of cases combined with micro catheter intubation technique successfully choose intubation.Conclusion:Interventional therapy of liver cancer often found abnormal branches involved in cases of abnormal blood supply,sources familiar with the common abnormal and how to select better catheter and the use of micro catheter for hepatic artery embolism chemotherapy(TACE)has very important significance.
出处
《陕西医学杂志》
CAS
2016年第1期63-66,共4页
Shaanxi Medical Journal
关键词
肝肿瘤/放射摄影术
肝肿瘤/治疗
血管造影术
数字减影
血液供给
@微导管介入治疗
Liver neoplasms/radiography
Liver neoplasms/therapy
Angiography,digital subtraction
Blood supply
@Micro catherter interventional therapy
