摘要
目的：研究肝癌多重供血的影像学表现及意义和双途径介入治疗的必要性及临床意义。材料与方法：对２２例经Ｂ超、ＣＴ证实的肝癌患者在介入治疗术前进行了ＣＴＡ、ＣＴＡＰ检查，根据检查结果将患者的血供类型进行分类，根据不同的血供类型制定相应的治疗方案，同时针对肝动脉和门静脉进行双途径介入治疗。结果：本组１４例为肝动脉供血明显优势型，６例为肝动脉、门静脉供血相当型，２例显示门静脉供血稍优。本组２２例患者１年生存率为５９％（１３／２２）。结论：（１）ＣＴＡ、ＣＴＡＰ在显示肝癌多血供类型方面作用很大，有助于治疗方案的正确制定；（２）对于肝癌的治疗采用双途径介入治疗是必要的、有意义的。
Objective: To study not only the imaging display and significance of blood supply of many channels of liver cancer,but also the necessarity and clinical significance of interventional treatment both at HA and PV. Materials and Methods:Twenty-two patients with liver cancer diagnosed by CT and ultrasonography were undertaken CTA and CTAP before interventional treatment.According to the results of the blood supply, the cancers were divided into different types.The treatment procedure was based upon the corresponding types of blood supply. Results:14 patients belonged to the type that the blood supply of HA was superior.6 patients belonged to the type that the blood supply of HA was close to the blood supply of PV.2 patients showed the blood supply of PV was superior. In 22 patients the cumulative survival was 59%in one year.Conclusion:(1)CTA and CTAP play an important role in showing the blood supply type of liver cancer.It is also helpful to draft the treatment plan.(2)It is necessary and significant that interventional treatment of both channels should be adopted in the treatment of liver cancer.
出处
《临床放射学杂志》
CSCD
北大核心
1996年第1期42-44,共3页
Journal of Clinical Radiology
基金
苏州医学院附一院1993年度科研基金
关键词
肝癌
CT
血管造影
介入疗法
Liver Cancer,Computerized tomography, Angiography,Interventional treatment
