Post K, Brambs H J, Otto G, Richter G M, Allenberg J R, Witt J
Abteilung für Radiodiagnostik der Radiologischen Universitätsklinik, Heidelberg.
Radiologe. 1990 Jun;30(6):294-8.
Four cases of intra- and extrahepatic aneurysms of the hepatic artery are discussed concerning the etiology, symptoms, therapy and complication rate. The diagnostic approach and problems in differential diagnosis are specified. Localization of the aneurysm and especially the relationship of the collateral circulation of the hepatic bed are essential to plan the therapy and are based on angiography. Interventional therapeutic techniques are favored for intrahepatic localization. Reconstructive or ablative surgery is indicated to treat the extrahepatic aneurysm.
本文讨论了4例肝动脉肝内和肝外动脉瘤的病因、症状、治疗及并发症发生率。明确了诊断方法和鉴别诊断中的问题。动脉瘤的定位，尤其是肝床侧支循环的关系对于治疗方案的制定至关重要，且基于血管造影。对于肝内定位的动脉瘤，介入治疗技术更受青睐。肝外动脉瘤则需行重建或切除手术治疗。
