摘要
目的 观察肝癌肝内动静脉分流对术后肺转移的影响。方法 3 2例可切除肝癌术前经肝动脉插管注入 5mCi(185MBq) 99mTc MAA ,获得肝肺分流率 ,术后随访 3年观察肺转移情况。结果 肺转移病人的肝肺分流率明显高于无肺转移者。结论 肝内动静脉分流量大者术后肺转移的可能性大。
Objective To investigate the lung metastasis effected by intrahepatic arteriovenous shunt in patients with hepatocellular carcinomas. Methods In 32 patients with hepatocellular carcinomas, a dose of 185 MBq 99m Tc MAA was injected intraarterially before operation, into the hepatic artery via a cannula, then the pulmonary shunt rate was calculated. All these patients were followed up for 3 years after operation to survey the lung metastasis. Results The shunt rate in patients with lung metastasis was higher than that in patients without lung metastasis (t=2.78, P<0.01). Conclusions It is very likely to cause lung metastasis of hepatocellular carcinoma in patients with high intrahepatic arteriovenous shunt rate.
出处
《中华肝胆外科杂志》
CAS
CSCD
2000年第1期15-16,共2页
Chinese Journal of Hepatobiliary Surgery
关键词
动静脉分流
肺转移
肝肿瘤
Carcinoma,hepatocellular Arteriovenous shunt Lung metastasis
