CT增强扫描诊断肝动脉-门静脉瘘对原发性肝癌灌注化疗及栓塞治疗的指导作用

摘要

目的：通过多排CT增强扫描，诊断肝动脉门-静脉瘘，来指导制定肝癌介入治疗方案，通过瘘口的预先栓塞观察肝癌栓塞治疗的效果。方法：1999-2006年收治肝癌患者1452例，2007-2014年收治肝癌患者1756例，比较两个阶段不同治疗方法与治疗效果，总结CT增强扫描提前诊断肝动脉-门静脉瘘对肝癌介入栓塞治疗的指导作用。结果：通过对肝动脉-门静脉瘘口的预先栓塞，肝癌栓塞治疗的效果明显提高，不仅减轻了患者的痛苦，提高了患者的生存质量，而且延长了患者的寿命，得到了临床医生和患者的一致认可。结论：CT增强扫描诊断肝动脉-门静脉瘘对肝癌介入治疗有非常重要的指导作用。%Objective:Through enhanced scanning by multi detector row CT,to make a diagnosis of hepatic artery portal vein fistula,to guide the development of interventional treatment of liver cancer,to observe the effect of embolization therapy for liver cancer by pre embolization of the fistula.Methods:1 452 patients with liver cancer were selected from 1999 to 2006.1 756 patients with liver cancer were selected from 2007 to 2014.We compared different therapeutic methods and the therapeutic effect,and summarized guiding role of enhanced CT scanning in the early diagnosis of hepatic artery portal vein fistula for embolization treatment of primary carcinoma of the liver.Results:Through pre embolization of hepatic artery portal vein fistula,the effect of embolization therapy for liver cancer was improved obviously.It could alleviate the suffering of patients,improve the quality of life of patients,and prolong the life of patients.It had been recognized by clinicians and patients.Conclusion:Enhanced CT scanning in the diagnosis of hepatic artery portal vein fistula had a very important guiding role in interventional therapy for liver cancer.