摘要
目的 探讨门静脉逆流与肝癌肝内转移的关系。方法 应用彩色多普勒超声检测肝炎肝癌组、非肝炎肝癌组、肝炎组与对照组的门静脉 肝动脉瘘、门静脉逆流的发生率。结果 肝炎肝癌组、肝炎组门静脉逆流的发生率均高于非肝炎肝癌组 (P <0 0 5 ,P <0 0 1) ,且肝炎肝癌组最高 (P <0 0 5 ,P <0 0 1,P <0 0 0 1) ;肝炎肝癌组肝内转移发生率明显高于非肝炎肝癌组 (P <0 0 1) ;肝炎肝癌组与非肝炎肝癌组肿块内及周围的门静脉 肝动脉瘘发生机率差异无显著性 (P >0 0 5 )。结论 门静脉逆流是引起肝癌肝内转移的主要途径。
Objective To study the relationship between pylic countercurrent bloodflow and intrahepatic metastasis of hepatocarcinoma. Methods Portal veinhepatic artery fistula and pylic countercurrent blood flow in the liver were examined by color Doppler ultrasound. Patients examined were divided into four groups: group 1, hepatocarcinoma with background of hepatitis, group 2, hepatocarcinoma without background of hepatitis, group 3, hepatitis and group 4, normal liver. [WT5”HZ]Results Pylic countercurrent flood flow was most frequently observed in group 1 patients. Intrahepatic metastasis was more frequent in group 1 than in group 2 patients. There was no statistically significant difference in the frequency of portal veinhepatic artery fistula formation around and inside of tumor between group 1 and group 2 patients. Conclusion Intrahepatic metastasis of hepatocarcinoma is due to countercurrent blood flow in the portal system.
出处
《中华肿瘤杂志》
CAS
CSCD
北大核心
2001年第2期142-144,共3页
Chinese Journal of Oncology
