【摘要】 目的 :分析观察肝脏转移性肿瘤的血管造影形态 ,以便指导对其进行介入治疗。方法 :回顾性分析 2 8例肝脏转移性肿瘤DSA表现 ,原发癌均经病理证实 ,分别为胃癌、胰腺癌、肺癌、大肠癌、食管癌、胆囊癌、恶性胸腺瘤及乳腺癌 ,分别行B超或CT检查肝脏均有实质性占位 ,在介入治疗前常规行腹腔动脉或肝总动脉DSA检查。结果 :本组肝脏转移性肿瘤血供丰富 5例 ,血供中等量 16例 ,血供稀少 7例 ,其血管造影表现为血管增粗、狭窄、扭曲、推移、肿瘤染色、充盈缺损、无门静脉瘤栓亦无动静脉瘘等。结论 :血管造影不仅能反映肝脏转移性肿瘤的血管特征 ,并能为采用介入治疗措施提供一定依据更多还原

【Abstract】 Objective:To analyze the vascular shape of metastatic hepatic cancer and make a further understanding of the interventional therapy.Methods:DSA findings of 39 cases with metastatic hepatic cancer was analyzed retrospectively.The pathologically proved primary tumor in this study included gastric carcinoma,carcinoma of pancreas,pulmonary carcinoma,large intestine carcinoma,carcinoma of gallbladder,breast cancer,esophageal carcinoma,malignant thymoma.The solidity masses in liver were investigated by CT and B ultrasonography.DSA in a celiac artery and hepatic artery was proceeded before the therapy.Results:In this study,blood supply of metastatic hepatic cancer included:hypervascular(in 8 cases),moderate vasculature(in 22 cases),and hypovascular(in 9 cases).The angiography manifestation is the dilatation of the blood vessel,cramped,crooked,shilted shifted,staining of tumor,no tumor embolus in the portal vein,no arterial venous fistula.Conclusion:Angiography can not only characterize the vasculature of the metastatic hepatic cancer,but also supply the interventional therapy.更多还原