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肝癌肝外供血动脉的发现和处理

The Angiographic Discovery and Interventional Disposition of Extrahepatic Supplying Artery in Hepatic Carcinoma
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摘要 在肝癌栓塞治疗中,应注意肠系膜上动脉和右侧膈下动脉有无供血分枝。在操作中注意可能的异位供血动脉。经腹腔动脉造影发现肝内分枝缺如,实质期肿瘤染色不全,以及肝癌接近顶部裸区,应注意肝外供血动脉的存在。经肝外供血动脉可行常规化疗,并视血管走行,分支情况,以及其它肿瘤供血动脉开放情况酌情处理。一般右膈下动脉如有肿瘤供血,行栓塞处理是安全的。 Hepatic Tumor-supplying Artery may rises from non-celiac trunk——superior mesenteric artery; right inferior phrenic artery etc——extrahepatic supplying artery (ESA). The vacancy or incompletion of intrahepatic artery branches and incomplete homogeneous tumor-stain in celiac trunk angiography, and the tumor near the top of liver suggst the existence of ESA possiblly. Through the ESA, the routine aniicancer drug infusion can be carried on. The route and branches of ESA and hepatic artery should be considered when embolizing via ESA. Generally, it is possible and safe to embolize tumor via the right phrenic artery if it supplies the tumot.
出处 《军医进修学院学报》 CAS 1992年第2期113-115,共3页 Academic Journal of Pla Postgraduate Medical School
关键词 肝肿瘤 化疗栓塞 肝外供血动脉 Liver neoplasms Chemoembolization Extrahepatic supplying artery
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