| 晚期肝癌肝脏内外侧支供血及临床意义 |
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| 引用本文： | 马广勤,高从敬,万向荣,陈才保,张南征. 晚期肝癌肝脏内外侧支供血及临床意义[J]. 肿瘤学杂志, 1997, 0(2) |
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| 作者姓名： | 马广勤 高从敬 万向荣 陈才保 张南征 |
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| 作者单位： | 解放军第97中心医院!徐州，221004，解放军第97中心医院!徐州，221004，解放军第97中心医院!徐州，221004，解放军第97中心医院!徐州，221004，解放军第97中心医院!徐州，221004 |
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| 摘 要： | 目的：探讨肝癌肝脏内、外侧支供血的产生机理。方法：收集TAE治疗资料完整的中晚期肝癌340例，对其血管造影表现进行分析。结果：肝内侧支供血227例：叶间侧支207例，叶内侧支20例；肝外侧支供血78例：胃左肝在动脉共干21例、网膜动脉29例、右IPA13例、左IPA5例、结肠中动脉9例、右肾动脉1例；肝内合并肝外侧支同时供血35例。结论：侧支供血形成的机制与肝脏的解剖及肿瘤生长部位有关。认为了解肿瘤侧支供血的造影表现，对肝癌TAE及手术治疗有重要的临床意义。
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| 关 键 词： | 侧支供血 血管造影 肝肿瘤 |
The Intrahepatic or Extrahepatic Collateral Blood Supply of Advanced Hepatic Cancer and Its Clinical Significance |
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| Ma Guangqin, Gao Chongjing, Wan Xiangrong,et al.. The Intrahepatic or Extrahepatic Collateral Blood Supply of Advanced Hepatic Cancer and Its Clinical Significance[J]. Journal of Chinese Oncology, 1997, 0(2) |
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| Authors: | Ma Guangqin Gao Chongjing Wan Xiangrong et al. |
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| Abstract: | Purpose: To investigate the mechanism of intrahepatic.or extrahepatic collateral blood supply of prirnary hepatic carcinoma. Method: The angiography of 340 patients with advanced hepatic cancer treated by transcatheter arterial embolization(TAE) was analysed. Results: Intrahepatic arterial collaterals occurred in 227 pts (collaterals between left and right hepatic arteries 207 pts, intralobar collaterls 20 pts), extrahepatic arterial collaterals occurred in 78 pts(left gastric and left hepatic artery 21 pts, gastroepiploie artery 29 pts, right inferfor phrenic artery 13 pts. Left inferior phrenic artery 5 pts, middle colic artery 9 pts, right renal artery 1 pts). Extrahopatic companying with interhepatic arterial collaterals bIood supply occupied 35 pts. Conc1usion: The results indicate that formation of the collateral blood supply is relative to hepatic anatomy and tumor location. It reveals important clinical significance of TAE in PHC. |
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| Keywords: | Blood supply collateral Angiography Hepatic neoplasms |
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