肝癌腸系膜上動(dòng)脈供血的DSA研究與介入治療.pdf

1、山西醫(yī)科大學(xué)碩士學(xué)位論文肝癌腸系膜上動(dòng)脈供血的DSA研究與介入治療姓名：高嵩申請(qǐng)學(xué)位級(jí)別：碩士專(zhuān)業(yè)：影像醫(yī)學(xué)與核醫(yī)學(xué)指導(dǎo)教師：孟祥文張進(jìn)20050513山西醫(yī)科人學(xué)碩士學(xué)位論文Digitalsubtractionangiographicresearchandinterventionaitherapyofhepatocarcinomawithbloodsupplyarisingfromthesuperiormensentericarter

2、yAbstractobjective：Toexamineandanalysedigitalsubtractionangiography(DSA)manifestationsandcharacteristicsofsuperiormensentericartery(SMA)feedinghepatocarcinomaforinterventionaltherapyMethods：DSAmanifestatiotlsofintervenfi

3、onaltreatmentin38hepatocarcinomaswithbloodsupplyarisingfromSMAwereretrospectivelyreviewedThefeedingarteriesarisingfromSMAweredividedintotwotypes：aberranthepaticarterialbloodsupply、extrahepaticarterialbloodsupply(collater

4、alsarteriesandparasiticarteries)An畫(huà)ographicalmanifestationsofdifferenttypeweredescribedandanalysed，frequencyandcharacteristicsweresttmmedupstatistically50caseswithhepatocarcinomafedbyceliactrunkhepaticarterywerelookedasc

5、ontrolgroup，thesuccessfulrateofselectivecatheterizationin28hepatocarcinomasfedbyaberranthepaticarteriesarisingfromSMAwascalculatedandcomparedwiththerateofcontrolgroupResults：(1)Of378hepatocarcinomapatients，38caseswithblo

6、odsupplyarisingfromSMAwerefound，includingaberranthepaticarteries28cases、extrahepaticarterialbloodsupply10casesfcollateralsbloodsupply5cases、parasiticarteriesbloodsupply5cases)Among28caseswithaberranthepaticarteries，inclu

7、dingaccessoryrighthepaticartery(9cases，321％)，replacedrighthepaticartery(13cases，464％)，abeIrantcommonhepaticartery(5cases，179％)andceliacarteryarisingfromSMA(2cases，71％)Analysingtheconfigurationofaberranthepaticarteriesari

8、singfromSMA，wefoundshortshaftformin22cases，short—shmformin6cases；21casesangulatedupward，7casesangulateddownwardThestateofbloodsupplyofhepatocareinomafedbyaberranthepaticarteriesarisingfromSMAwasdividedintofullbloodsupply