超選擇性肝動脈攝影術

SUPER SELECTIVE HEPATIC ARTERIOGRAPHY

張明瑞(Ming-Zue Chang) ； 蔡春泉(Chung-Chueng Tsai) ； 林清澤(Ching-Tzer Lin) ； 劉洋漢(Yang-Han Liu)

《中華放射線醫學雜誌》 3卷2期 (1978/06) Pp. 140-145

摘要

腹腔軸動脈攝影術對肝臟疾病之診斷相當重要。但是左肝動脈分布的範圍正面看來常與左胃動脈、橫膈下動脈以及脾臟之一部分相重疊，而使診斷發生困難。長庚紀念醫院自民國66年4月至今，共做了38例肝臟血管攝影。其中10例進一步做超選擇性肝動脈攝影術，使可疑病灶部位有更清晰的圖像表現出血管之變化。這種超選擇性肝動脈攝影術在肝臟血管攝影X光診斷上有很大的幫助。

並列摘要

Celiac angiography is still one of the most valuable approach to make a diagnosis of liver disease, especially space occupying lesion. Angiographically anatomic point of view, the left hepatic artery is superimposed with left gastric artery, inferior phrenic artery and upper pole of spleen. It worried the radiologist to interpretate the left lobe condition. The super selective hepatic arteriography can suscessively neglect the vessels of neighbour organs of left lobe of liver and clearly demonstrate the fine vessels of liver due to more concentrated contrast medium reached the hepatic artery with smaller dose. Space occupying lesion of liver is very common in Taiwan esp. hepatoma, it is the most common neoplasm in male, accounting for 15% of all neoplasms in that sex. On the other hand , it is a rarer disease in the Europe and U.S.-1.2 to 2.5% of all tumors in male. Surgical technique rapid improvement recently, partial hepatectomy has become feasible and it offers the only hope for cure. Long term survival following such surgery has been reported. Accurate preoperative angiographic evaluation of the extension and location of space occupying lesion of liver should be the greatest importance to the surgeon. Undoubtedly, it can decrease the operability and much increase the resectability-the most important goal to the patient. In the department of diagnostic radiology of the Chang-Gung memorial Hospital, we have performed 248 cases of angiography for a period of 11 months-from April, 1977 to Feb., 1978 and 10 of 38 cases, suspected liver or pancreas disease, super selective study are performed and 4 illustration cases are presented.