【摘要】 目的　研究大肝癌右膈动脉开放的DSA表现及高度选择性介入栓塞治疗的临床价值 ,以提高介入治疗的临床疗效。方法　高度选择性插管至供应癌肿的膈动脉 ,并用碘油化疗药充分栓塞肿瘤的供血动脉。结果　本组 2 5 8例 5 15cm大肝癌在介入治疗术中发现在膈动脉供应癌肿血液的 5 6例 (2 1.7% ) ,其中首次介入治疗时发现 2 2例 (8.6 % ) ,第 2 3次介入治疗时发现 34例 (13 .3 % ) ;经高度选择性栓塞治疗后 ,所有病例肿瘤均明显缩小 ;6个月生存率 5 6例 (10 0 % ) ,1年生存率 45例 (80 .4% ) ,2年生存率 2 1例(37.7% )。结论　右膈动脉供应癌肿血液在大肝癌病例中较多见 ,找到并高度选择性充分栓塞其血供是介入治疗成功的关键因素之一。更多还原

【Abstract】 Objective To study the result of DSA for 56 cases with large liver cancer that there is bloody supply from arteria musculophrenica right and the clinical value of super selective interventional embolization, so that to improve the clinical curative effects of interventional therapy. Methods Employ 4F, 3F catheter super selectively into arteria musculophrenica that supply blood to cancer.Result 56 cases(21.7%)were discovered that there was bloody supply from arteria musculphrenica right to cancer in 258 cases with large liver cancer, liver neoplastic size of all cases was in 5~15cm,22 cases(8.6%) were discovered in the first interventional operation,34 cases (13.3%)were discovered in the second or the third interventional operation.Obvious tumor shrinking in all cases; the 6 month survival as 56 cases(100%),the 1 year survival as 45 cases (80.4%), the 2 year survival as 21 cases(37.5%).Conclusion Arteria musculophrenica right supply blood to cancer is common in large liver cancer cases, super selectively embolized the supply blood from the arteria musculophrenica right is very important for acquiring success by interventional operation .更多还原