【摘要】 目的 探讨肝癌合并动静脉瘘的DSA表现及介入治疗方法。方法 对272例已证实的肝癌患者先行DSA造影,再行肝动脉内化疗栓塞治疗。结果 合并动静脉瘘者有113例(41.5%),其中肝动脉门静脉瘘98例,肝动静脉瘘7例,混合型8例,所有动静脉瘘患者均行了1次或多次肝动脉内化疗(TAI)和/或化疗栓塞治疗(TACE)。结论 DSA影像是肝癌合并动静脉瘘直观可靠的诊断方法。对于轻中度AVS用明胶海绵阻断瘘口血流后TACE安全有效,对重度流量大的AVS,则仅行TAI。更多还原

【Abstract】 Objective To explore of DSA manifestations and interventional therapeutic methods of hepatocellular carcinoma accompanied with arteriovenous shunt.Methods 272 cases with proved hepatocellular carcinoma(HOC) underwent DSA examinations firstly,then transcatheter arterial chemoembolization(TACE) or transcatheter arterial infusion(TAI) were performed in all cases.Results Totally 113 cases were presented with arteriovenous shunt,including 98 cases with hepatic artery-portal vein shunts,7cases with hepatic arteriovenous shunts and 8 cases with mixed type.All cases with arteriovenous shunt were undergone TAI and/or TACE for once or multiple times.Conclusion DSA is an accurate and direct diagnostic method for hepatocellular carcinoma complicated with hepatic arteriovenous shunt.TACE is safe and effective for the patients of HCC with mild or moderate shunt after the blood flow of AVS is blocked completely by gelatin sponge but the severe AVS has to be treated with TAI only.更多还原