肝癌介入治疗中肝动脉解剖变异的DSA研究

摘要

目的：探讨肝癌患者肝动脉解剖变异的数字减影血管造影(digital subtraction angiography, DSA)检查情况，以更好的指导临床介入治疗。方法从该院2010年9月-2014年9月收治的肝癌患者中随机选择350例进行研究，均行DSA检查，对直接参与肿瘤供血的变异肝动脉起源和分布情况进行观察和分析。结果350例患者中，63例患者的变异动脉直接参与到肿瘤的供血之中，46例起源于肠系膜上动脉，6例起源于腹腔干，4例起源于胃左动脉，3例起源于胃十二指肠动脉，3例起源于腹主动脉，1例起源于肝总动脉。结论肝癌患者肝动脉解剖变异中，直接参与肝癌瘤体供血的变异动脉起源在分布方面具有一定的特点，临床可以结合患者的DSA资料来制定介入治疗方案。%Objective To explore the anatomical variations of hepatic artery in patients with hepatocellular carcinoma and digital subtraction angiography (digital subtraction angiography, DSA) examination,in order to better guide the clinical interventional therapy. Methods 350 cases of patients with liver cancer in our hospital from September 2010 to September 2014 were selected , and were given DSA examination.The Variation of hepatic artery origin and distribution directly involved in tumor blood supply were observed and analysised. Results Among 350 cases of patients, 63 patients with variant artery directly involved in tumor blood supply, 46 cases originated from the superior mesenteric artery, 6 cases originated from the celiac trunk, 4 cases originated from the left gastric artery, 3 cases originated from the gastroduodenal artery, 3 cases originated from the abdominal aorta,1cases o-riginated from the common hepatic artery. Conclusion Hepatic artery anatomy variation in patients with hepatocellular carcinoma, variation of the arterial origin directly involved in the hepatocellular carcinoma blood has certain characteristics in distribution, clinical can be combined with the DSA data to make patients with interventional therapy.