经动脉化疗栓塞术前肝动脉造影CT扫描在门静脉癌栓形成的肝癌中的应用：附4例报告

Computed tomography during arterial portography prior to transcatheter arterial therapy in hepatocellular carcinoma with marked portal extension: four case reports.

作者信息

Matsuoka Y, Ohtomo K, Yanagidaira H, Okubo T, Kojima K, Nishikawa J, Sasaki Y

机构信息

Department of Radiology, Faculty of Medicine, University of Tokyo, Japan.

出版信息

Eur J Radiol. 1991 Nov-Dec;13(3):192-5. doi: 10.1016/0720-048x(91)90027-s.

DOI:10.1016/0720-048x(91)90027-s

PMID:1661674

Abstract

Computed tomography during arterial portography (CTAP) is acknowledge as a valuable preoperative method for the detection of small intrahepatic lesions in patients with liver neoplasm. Four patients with hepatocellular carcinoma (HCC) with marked portal extension are presented. Evaluation of intrahepatic portal blood flow was achieved more accurately by CTAP than by conventional arterial portography. CTAP also plays an important role in patients with inoperable HCC, since portal extension is the most important prognostic factor of transcatheter arterial therapy.

摘要

动脉性门静脉造影计算机断层扫描（CTAP）被认为是检测肝肿瘤患者肝内小病灶的一种有价值的术前方法。本文介绍了4例伴有明显门静脉侵犯的肝细胞癌（HCC）患者。与传统动脉性门静脉造影相比，CTAP能更准确地评估肝内门静脉血流。CTAP在无法手术切除的HCC患者中也发挥着重要作用，因为门静脉侵犯是经导管动脉治疗最重要的预后因素。