[1]青云,罗小平,刘曦,等.右侧膈下动脉起源及其在原发性肝癌中参与供血的影像特征[J].陆军军医大学学报(原第三军医大学学报),2014,36(05):478-482.
 Qing Yun,Luo Xiaoping,Liu Xi,et al.Origin of right inferior phrenic artery and its imagery features in participatory blood supply of hepatocellular carcinoma[J].J Amry Med Univ (J Third Mil Med Univ),2014,36(05):478-482.
点击复制

右侧膈下动脉起源及其在原发性肝癌中参与供血的影像特征(/HTML )
分享到:

陆军军医大学学报(原第三军医大学学报)[ISSN:1000-5404/CN:51-1095/R]

卷:
36卷
期数:
2014年第05期
页码:
478-482
栏目:
论著
出版日期:
2014-03-15

文章信息/Info

Title:
Origin of right inferior phrenic artery and its imagery features in participatory blood supply of hepatocellular carcinoma
作者:
青云罗小平刘曦何明菊杨伟
重庆医科大学附属第二医院放射科
Author(s):
Qing Yun Luo Xiaoping Liu Xi He Mingju Yang Wei
Department of Radiology, Second Affiliated Hospital, Chongqing Medical University, Chongqing, 400010, China
关键词:
肝癌 右侧膈下动脉数字血管造影化疗栓塞变异血管
Keywords:
hepatocellular carcinoma right inferior phrenic artery digital subtraction angiography transcatheter arterial chemoembolization variance vessel
分类号:
R322.121; R735.7; R814.43
文献标志码:
A
摘要:
目的      回顾性分析右侧膈下动脉起源、解剖变异及其参与原发性肝癌供血特征,以期提高肝癌经动脉插管化疗栓塞的疗效。      方法       收集我院2010年1月至2013年8月发现有右侧膈下动脉供血的原发性肝癌167例,其中男性151例,女性16例,年龄28~83(52.19±11.70)岁。所有DSA图像清晰度满足研究需求,可以准确判断膈下动脉的起源、走行、分布。分析右侧膈下动脉的起源及右侧膈下动脉参与供血特征。      结果        167例右侧膈下动脉起源可分为9型,以起源于腹主动脉及腹腔干为主,双侧膈下动脉可共干或分别起源;参与肝癌血供包括外侧支、前支、后支、心包膈角支,分别为35.3%(59/167)、70.7%(118/167)、33.5%(56/167)、6.0%(10/167),常见右侧膈下动脉前支及外侧支同时参与肿瘤供血,其中右侧膈下动脉为少量供血134例,为主要滋养动脉参与供血33例。统计学分析显示肿瘤的直径、部位、治疗次数、性别、年龄与右侧膈下动脉参与肿瘤供血比例差异均无统计学意义(P>0.05)。      结论       右侧膈下动脉起源、解剖形态变异较多,在原发性肝癌中参与供血发生率高,参与供血形态及范围各异。
Abstract:
Objective        To retrospectively analyze the origin and anatomical variation of right inferior phrenic artery (RIPA), and its participation in the blood supply of hepatocellular carcinoma (HCC) so as to improve the curative effect of transcatheter arterial chemoembolization (TACE) in treatment of HCC.       Methods        A total of 167 cases diagnosed as HCC with RIPA participated in the blood supply in our hospital from January 2010 to August 2013 were enrolled in this study. They were 151 males and 16 females with an average age of 52.19±11.70 (28 to 83). All obtained DSA images were qualified for observation to identify the origin, course and distribution of RIPA. The origin of RIPA and the features of its participation of blood supply were analyzed.       Results        The origins of RIPA of these 167 cases fell into 9 types. Most RIPA mainly originated from abdominal aorta and celiac trunk, and some from same or separate trunks of bilateral inferior phrenic arteries. Lateral branch, anterior branch, posterior branch and pericardiacophrenic arterial branches participated in the bloody supply of HCC, and accounted for 35.3% (59/167), 70.7% (118/167), 33.5% (56/167) and 6.0% (10/167), respectively. It was quite common that the anterior branch and lateral branch jointly participated in the blood supply. Among the 167 cases, 134 cases had RIPA participated as small amount of the blood supply, and the other 33 cases had RIPA as main nutrient artery. Statistical analyses showed that there was no consistent correlation of tumor location, tumor size, times of treatment, sex, age with the ratio of RIPA participated in blood supply of HCC.       Conclusion        The origins of the RIPA are various with anatomical variations. Many RIPA participates the blood supply of HCC, though with different ranges.

相似文献/References:

[1]金世龙,黄中荣,陈华,等.HuH7细胞系CD13+CD133+HCC细胞分选及CSCs特性分析[J].陆军军医大学学报(原第三军医大学学报),2012,34(16):1658.
 Jin Shilong,Huang Zhongrong,Chen Hua,et al.Sorting and cancer stem cell characteristic analysis of CD13+CD133+HCC cells in HuH7 cell line[J].J Amry Med Univ (J Third Mil Med Univ),2012,34(05):1658.
[2]金世龙,余天雾,黄中荣,等.As2O3在HuH7及CD13+CD133+LCSCs增殖和分化中作用的初步观察[J].陆军军医大学学报(原第三军医大学学报),2012,34(18):1857.
 Jin Shilong,Yu Tianwu,Huang Zhongrong,et al.Role of arsenic trioxide in proliferation of HuH7 cells and differentiation of CD13+CD133+ LCSCs[J].J Amry Med Univ (J Third Mil Med Univ),2012,34(05):1857.
[3]庞林宾,王洪林,王晔飞,等.JAK2/STAT3通路在肝癌细胞侵袭及血管生成拟态中的作用[J].陆军军医大学学报(原第三军医大学学报),2012,34(18):1862.
 Pang Linbin,Wang Honglin,Wang Yefei,et al.Role JAK2/STAT3 signaling pathway in invasion and vascular mimicry of liver cancer cells[J].J Amry Med Univ (J Third Mil Med Univ),2012,34(05):1862.
[4]熊震,汤旭东,房殿春,等.人肝素酶RNAi序列的筛选及鉴定[J].陆军军医大学学报(原第三军医大学学报),2007,29(20):1929.
 XIONG Zhen,TANG Xu-dong,FANG Dian-chun,et al.Screening and identification of heparanase RNAi sequence[J].J Amry Med Univ (J Third Mil Med Univ),2007,29(05):1929.
[5]向征,张才全,汤为学.TSG101-siRNA对肝癌耐药细胞株QGY/CDDP的逆转作用[J].陆军军医大学学报(原第三军医大学学报),2008,30(02):170.
 XIANG Zheng,ZHANG Cai-quan,TANG Wei-xue.Effect of tumor susceptibitity gene 101-siRNA eukaryotic expression vector and cisplatin on proliferation of QGY/CDDP[J].J Amry Med Univ (J Third Mil Med Univ),2008,30(05):170.
[6]郑继军,王阁,邓婧,等.PD98059对肝癌HepG2细胞Tec信号转导作用的初步研究[J].陆军军医大学学报(原第三军医大学学报),2006,28(02):136.
[7]郑继军,王阁.肝癌粘附转移中相关整合素的作用研究现状[J].陆军军医大学学报(原第三军医大学学报),2006,28(02):176.
[8]张百红,贺佳,朱德增,等.一个新的肝癌分期系统的构建[J].陆军军医大学学报(原第三军医大学学报),2006,28(03):253.
[9]李宁,候丽娟.自体CIK细胞治疗肝癌患者的护理[J].陆军军医大学学报(原第三军医大学学报),2006,28(05):485.
[10]戴纪刚,肖颖彬,闵家新,等.高低转移小鼠肝癌细胞线粒体DNA遗传变异的研究[J].陆军军医大学学报(原第三军医大学学报),2006,28(20):2030.

更新日期/Last Update: 2014-03-03