肝动脉造影术在肝癌术后肝内亚临床复发诊断中的价值(61例报告)

收集了61例肝癌术后肝内结节型（≤5cm）、亚临床复发病例，对甲胎蛋白（AFP）、B超、CT和肝动脉造影的检出率作了比较，其检出率分别为63．9％、60．7％、73．8％和934％。提示血管造影是检出肝内结节复发最敏感的方法。由于碘油CT检查和CTA（经动脉造影CT）、CTAP（经动脉门脉造影CT）开展均需依赖肝动脉插管，而肝动脉造影如发现术后复发即可行介入放射学处理，可起到诊断和治疗的双重作用。所以血管造影方法应作为肝癌切除术后随访中的综合方法中的一种常用的重要方法。

THE DIAGNOSTIC VALUE OF HEPATIC ARTERIAL ANGIOGRAPHY IN THE INTRAHAPATIC NODE AND SUBCLINICAL CASES OF POSTOPERATIVE HEPATOCELLULAR CARCINOMA (HCC) RECURRENCE (A REPORT OF 61 CASES)

PURPOSE There are higher intrahepatic recurrence rates (IHR) after liver resection of hepatocellular carcinoma. The diagnosis of intrahepatic recurrence mainly depends on AFP, B type ultrasound and or examination. With the development of interventional radiology, hepatic arterial angiography has become a commonmethod. Our purpose was to find the diagnostic value of hepatic aterial angiography in the intrahepatic node andsubclinical cases of postoperative hapatocellular carcinoma recurrence.METHODS This study consisted of 61 postoperative cases that intrahapatic recurrence carcinoma wassmaller than or equal to 5 cm in diameter. The sensitivity rate of AFP, B ultrasound, CT and angiography werecompared.RESULTS The sensitivity rate of AFP, B ultrasound, or and angiography was 63. 9 %, 60. 7 %, 73. 8% and 93. 4 %.CONCLUSIONS The heptic angiology is the best sensitive method to find the intrahepatic recurrence. Lipiodol CT and CTA, CTAP also were sensitive metheds, but they all depended on catheterization of hepatic arterial. When angiography find the intrahepatic recurrence, TACE (transcatheter arterial chemoembolization)can be done immediately. The double results of diagnosis and treatment can be gained. Hence, the angiographyshould be an important and very common method in the follow - up after resection of hepatocellular carcinoma.