血管造影在肝肿瘤诊断和治疗中的意义(附100例报告)

作者对100例临床上诊断为肝癌和拟诊肝内占位的病例作血管造影107人次,其中选择性腹腔动脉造影58人次,肠系膜上动脉造影3人次,灌注性肝动脉造影43人次(7例在腹腔动脉造影之后又行肝动脉造影),插管失败3人次,插管成功率97％。造影结果87例与临床、B超、CT或同位素扫描等诊断相符能作出明确诊断,诊断为肝胆细胞癌83例,肝良性肿瘤4例,确诊率87％。作者主要就插管造影技术的关键问题等进行较详细的讨论。肯定了选择性腹腔动脉和灌注性肝动脉造影对肝肿瘤的诊断和指导治疗的实际价值。

Value of Angiography in Diagnosis and Treatment of Hepatic Tumor (A report of 100 cases)

100 cases(107 person times)of angiography have been made for the patients who were been diagnosed clinically as hepatic tumors.Among them 58 person times were of selective celiac arteriography, 3 person times were of superior, mesenteric arteriography, and 43 person times infusion hepatic arteriography(7cases after celiac arteriography). There were 3 person times of unsatisfied catheterizaion. The successful catheterization rate reaches 97%. The angiography diagnosis of the 87 cases proved the same result with that of the clinic, ultrasonography, computed tomography, and nuclear medicine. 83 cases of hepatic malignant tumors of them and 4 cases of hepaticbenign tumors have surely been diagnosed. The accurate rate is 87%. The key problems of catheterization, angiographic technique and so on are mainly discused in this article. Meamwhile, it affirms the practical value of selective celiac arteriography and infusion hepatic arteriography for the diagnosis of hepetic tumor and for guiding treatment.