CAJ | 학술논문

肝动脉门静脉瘘是少见疾病,常为遗传性出血性毛细血管扩张症(hereditary hemorrhagic telangiectasia,HHT)累及肝脏,可出现肝动脉门静脉瘘、肝动脉体静脉瘘、门静脉肝静脉瘘。同时部分肝癌患者在行肝动脉造影或增强CT检查时动脉期亦多发现存在肝动脉-门静脉瘘。肝动脉门静脉瘘的患者可出现门静脉高压症、脾大、腹水。常规检查易漏诊,血管造影检查为金标准。本文对同一例肝动脉-门静脉瘘患者诊断及两次栓塞治疗结果进行分析,并复习相关文献,以提高临床医师对肝动脉-门静脉瘘致门静脉高压症的思考及认识,同时分析两种栓塞材料对肝动脉-门静脉瘘封堵效果。
간동맥문정맥루시소견질병,상위유전성출혈성모세혈관확장증(hereditary hemorrhagic telangiectasia,HHT)루급간장,가출현간동맥문정맥루、간동맥체정맥루、문정맥간정맥루。동시부분간암환자재행간동맥조영혹증강CT검사시동맥기역다발현존재간동맥-문정맥루。간동맥문정맥루적환자가출현문정맥고압증、비대、복수。상규검사역루진,혈관조영검사위금표준。본문대동일례간동맥-문정맥루환자진단급량차전새치료결과진행분석,병복습상관문헌,이제고림상의사대간동맥-문정맥루치문정맥고압증적사고급인식,동시분석량충전새재료대간동맥-문정맥루봉도효과。
Intrahepatic arterial-portal fistula is a kind of rare disease . When liver was invased by hereditary hemorrhagic telangiectasia, some disease often appear including hepatic arterial-portal fistula, hepatic arterial-systemic veins fistula, portal veins - hepatic veins fistula. Part of patients with hepatocellular carcinoma were found hepatic arterial-portal fistula in hepatic arteriography and enhanced CT. Patients with hepatic arterial-portal fistula often manifested as portal hypertension, splenomegaly, ascites. It was easy to missed. Angiography is gold standard. This article analysis the diagnosis and interventional occlusion one patient with hepatic arterial-portal fistula. Aimed to improve the reality of clinic doctors about portal hypertensionwere invased by hepatic arterial-portal fistula . Meanwhile contrast the effective of two kinds of embolic material in interventional occlusion.