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肝细胞癌合并肝动脉-肝静脉分流的栓塞治疗
引用本文:孔庆珍,田栋辉,曾勇. 肝细胞癌合并肝动脉-肝静脉分流的栓塞治疗[J]. 中华放射学杂志, 2000, 34(12): 831-832
作者姓名:孔庆珍  田栋辉  曾勇
作者单位:解放军第四六六医院放射科,北京
摘    要:目的 探讨肝细胞癌(HCC)伴肝动脉-肝静脉分流(AHVS)者的栓塞治疗的可行性与安全性。方法 对11例HCC伴AHVS的患者进行介入栓塞治疗16次。对肿瘤各支供血动脉分别超选择造影,对有AHVS的分支首先以明胶海绵碎块栓塞,AHVS消失后再以碘油栓塞。结果 造影有明确AHVS者9例,均成功栓塞;2例AHVS在造影时未发现。治疗后部分缓解3例,轻微反应4例,无变化4例。栓塞后无肺部并发症。结论 H

关 键 词:肝细胞癌 肝动脉-肝静脉分流 栓塞疗法
修稿时间:2000-07-26

Embolization of hepatocellular carcinoma companied by hepatic arterio venous shunts
KONG Qingzhen,TIAN Donghui,ZENG Yong,et al.. Embolization of hepatocellular carcinoma companied by hepatic arterio venous shunts[J]. Chinese Journal of Radiology, 2000, 34(12): 831-832
Authors:KONG Qingzhen  TIAN Donghui  ZENG Yong  et al.
Affiliation:KONG Qingzhen,TIAN Donghui,ZENG Yong,et al. Radiology Department of No.466 Hospital of PLA,Beijing 100081,China
Abstract:Objective To determine the feasibility and safety of embolization therapy in HCC accompanied by hepatic arterio venous shunts(AHVS). Methods 16 embolizations were performed in 11 patients. Angiography was done by superselective catheterization to all the feeding arteries of the tumor. Each shunt was blocked with gelfoam at first, followed by iodine oil. Results Marked AHVS was found in 9 patients all successfully embolized, no marked AHVS in 2 patients on angiography. Partial relief in 3 cases, minor reaction in 4 cases and no change in 4 cases. No respiratory system complication. Conclusion Embolization of HCC with AHVS is not an absolute contraindication . It is technically feasible and is safe to the patients.
Keywords:Carcinoma   hepatocellular  Arteriovenous fistula  Embolization   therapeutic
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