| 温锋,郭启勇,卢再鸣,廖伟,刘兆玉.肝门部胆管癌的血管造影表现分析[J].中国医学影像技术,2003,19(1):71~73 |
| 肝门部胆管癌的血管造影表现分析 |
| Appearance of Hilar Cholangiocarcinoma on Angiography |
| 投稿时间：2002-08-04 |
| DOI： |
| 中文关键词: 胆管癌 血管造影 |
| 英文关键词:Cholangiocarcinoma Angiography |
| 基金项目: |
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| 中文摘要: |
| 目的 通过总结肝门部胆管癌的血管造影表现,评价血管造影对胆管癌的诊断价值。方法 肝门部胆管癌患者20例,共32人次行肝动脉和间接门静脉血管造影。观察造影图像中肝总动脉、肝固有动脉、胃十二指肠动脉、肝右及肝左动脉,门静脉主干及其左右分支,肝静脉。结果 将20例共32人次的血管造影表现分为正常15.625%(5/32)、肿瘤染色15.625%(5/32)、血管受侵68.75%(22/32)三种。其中,以动脉血管(18/22)和门静脉(12/22)的受侵最常见。在动脉血管受侵中(18/32),动脉血管狭窄的发生率最高,为37.5%(12/32)。结论 在肝门部胆管癌的血管造影中,血管的不同程度受侵具有一定的特征性,可以作为其诊断的依据。同时,也为外科手术切除及临床预后的判定提供了帮助。 |
| 英文摘要: |
| Objective To evaluate the value of angiography in diagnosis of hilar cholangiocarcinoma by analyzing its angiographic appearance. Methods Thirty-two arteriography and arterial portography were performed in 20 patients with hilar cholangiocarcinoma.The images of common hepatic artery,right and left hepatic artery,gastroduodenal artery,portal vein and hepatic veins were interpreted by 2 experienced radiologists. Results Thirty-two arteriographical and arterial portographical images were classified into three categories:normal (5/32,15.625%),tumor staining including neovasculization and minor tumor staining (5/32,15.625%),and vascular involvements (22/32,68.75%).The main characteristics of hilar cholangiocarcinoma on angiography were artery (18/22) and portal vein (12/22) involvements.The most common vascular involvement in hilar cholangiocarcinoma was arterial stenosis (12/32) in these three categories. Conclusion Vascular involvements of hilar cholangiocarcinoma on angiography are characteristics for the diagnosis,which would be helpful for determining specific therapy and evaluating the prognosis. |
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