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分析了173例肝血管影像与肝癌的介入治疗资料,结果显示:①肝动脉起源及其分支走行形态与超选择性插管的成功密切相关。②肝动脉解剖变异23例(13.3%),主要为肠系膜上动脉供血型,其次为胃左动脉供血型。③肝癌的动脉血供主要为规则性供血(136/157),变异性供血21例(13.4%)。④肝癌合并脉动静林瘘20例(11.6%)。⑤动脉性门抓造形可了解门脉内有无痛性及门脉血流方向,可为选择介入治疗方法提供依据。结合本组肝血管影像资料,讨论了肝癌的肝动脉介入治疗有关问题。
The data of interventional treatment of 173 cases of hepatic angiography and liver cancer were analyzed. The results showed that: 1 The origin of the hepatic artery and its branch running pattern were closely related to the success of superselective intubation. 2 Anatomical variation of hepatic artery was found in 23 cases (13.3%), mainly for superior mesenteric artery blood supply, followed by left gastric artery supply type. 3 The arterial blood supply of liver cancer was mainly regular blood supply (136/157), and variability blood supply was 21 cases (13.4%). 4 Hepatocellular carcinoma with pulsatile static forest spasm in 20 cases (11.6%). 5 Arterial door-to-door sculpting can be used to understand the portal vein painlessness and direction of portal vein blood flow, which can provide basis for selecting interventional therapy. Combined with the hepatic vascular imaging data of this group, the related issues of hepatic artery interventional treatment of liver cancer were discussed.