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肝动脉栓塞术后经肝外 collateral 治疗肝脏肿瘤

[Treatment of hepatic neoplasms through extrahepatic collaterals after hepatic artery embolization].

作者信息

Shi Z H

机构信息

Cancer Hospital, Chinese Academy of Medical Sciences, Beijing.

出版信息

Zhonghua Zhong Liu Za Zhi. 1993 Mar;15(2):134-6.

PMID:8223124
Abstract

Twenty patients with liver malignant tumors who were treated by hepatic artery occlusion previously, were treated with additional hepatic infusion or embolization though extrahepatic collaterals. Twenty eight courses of hepatic infusion were performed in 14 patients through the right phrenic artery, collaterals of the proper hepatic artery, collaterals of the superior mesenteric and the pancreaticoduodenal arcades, collaterals of the celiac artery, gastroduodenal artery and left gastric artery. Nine hepatic embolization procedures were performed in 5 patients through the right phrenic artery, collaterals of the proper hepatic artery, gastroduodenal artery and collaterals of right renal artery. No complication related to the treatment procedures occurred in this group. The 1-year and 2-year survival rates were 60% and 10%, respectively.

摘要

20例先前接受过肝动脉闭塞治疗的肝脏恶性肿瘤患者,通过肝外 collateral 接受了额外的肝灌注或栓塞治疗。14例患者通过右膈动脉、肝固有动脉 collateral、肠系膜上动脉和胰十二指肠动脉弓 collateral、腹腔动脉 collateral、胃十二指肠动脉和胃左动脉进行了28次肝灌注。5例患者通过右膈动脉、肝固有动脉 collateral、胃十二指肠动脉和右肾动脉 collateral 进行了9次肝栓塞手术。该组未发生与治疗程序相关的并发症。1年和2年生存率分别为60%和10%。

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