中晚期原发性肝癌DSA表现的分型及其临床意义

目的：对原发性肝癌的ＤＳＡ表现进行归纳分型，并探讨其临床意义。方法：通过对１００例肝癌患者进行ＤＳＡ检查，统计分析其特点并分型。结果：原发性肝癌的ＤＳＡ表现多种多样，可归纳为四个方面：１．血管形态的改变：包括肝动脉、门脉等；２．肝癌血供情况；３．有无动静脉分流；４．ＤＳＡ所示肝癌的大小及形态。结论；根据原发性肝癌的ＤＳＡ表现作者提出了肝癌ＤＳＡ的分型方法即ＡＢＣＤ分型法，这对介入治疗方案的制定、预后的判断、疗效的评价有重要的价值

The Staging of Appearances of DSA and Its Clinical Significance in Patients with Primary Hepatocellular Carcinoma(HCC)of Medial Stage and Late

Objective:To study the staging of features of DSA and its clinical significance of HCC.Methods:DSA examination were done in 100 patients with primary hepatoma.The features and staging of DSA were analysed.Results:The appearances of DSA of HCC were various.It could be summed up in four aspect:(1)vascular changes included hepatic artery,portal vein and neoplastic vascular;(2)The blood supply of hepatoma;(3)Having or not having artery-venous shunt;(4)The size and the shape of HCC according to the DSA.Conclusion:The authors put forward a method of classfing the fingings of DSA of HCC,that is A B C D classification.This is of value in making a interventional therapeutical plan and assessing the prognosis and the therapeutical effect.