【摘要】 <正> 选择性动脉造影术,对原发性肝癌的诊断有着重要的意义,它不仅可明确肝癌的存在与否,而且可显示癌肿的大小、数目、部位、范围及其生长类型,从而可以正确估计手术切除的可能性,并在手术前提供了极为有用的资料,还可利用动脉导管向癌肿区灌注抗癌药物,所有这些均为其他检查方法所不及。本文主要报道80例原发性肝癌的X线更多还原

【Abstract】 In a total of 80 cases, selective angiography was performed for the diagnosis ofPHCC during the period from July 1973 to October 1980 in our hospital. The diagnosiswas confirmed by surgical exploration in 26 cases, by percutaneous punture of the liverpost-mortem in 6 cases, by significantly positive AFP scintiscan and ultrasound in 48 cases. All patiens had undergone percutaneous femoral puncture and catheterization ac-cording to modified Seldinger’s technique. Altogether 111 arteriographic injections wereperformed, including 83 selective celiac injections in 63 cases. 4 superselective hepaticartery injections in 3 cases, 13 simultaneous celiac and superior mesenteric artery injec-tions jn 6 cases and finally, 11 aorta injections in 8 cases. Angiographic study in 78 of the 80 cases showed typical vascular patterns ofPHCC, the positive rate being 97.5 per cent. There were only 2 cases of false negativediagnosis. According to the growth pattern and angiographic features, these PHCC wereclassified into 3 types: massive type in 31(40%) of the 78 cases, nodular type in 28(36% ) cases, diffuse type in 19(24%)cases. The angiographic findings of each type ofPHCC were accurately delineated, so were their main chracteristic features. The diagn-ostic value of selective angiography for improving detection rate of small hepatocellarcarcinoma with a clear view of tumor size, number, location and extent, was dissussed.更多还原