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目 的 探讨复发性肝癌的造影诊断和介入治疗有关问题．方法 回顾性分析４０例原发性肝癌手术切除后复发的肝动脉造影表现和化疗栓塞治疗的结果。结果 造影表现归纳为三种类型：Ⅰ型（边缘复发型）１１例，占２７．５％，Ⅱ型（肝内播散型）２３例，占５７．５％，Ⅲ型（隐匿复发型）６例，占１５％．造影表现特点：血供相对不丰富，肿瘤结节染色浅淡，病灶常呈多发性；小病灶（直径＜２． ０ ｃｍ）多见．结论 介入治疗时复发性肝癌亦是一种有效的治疗方法，并且应该早期（手术后２～４个月）进行。
Objective To investigate the related problems of diagnosis and interventional treatment of recurrent hepatocellular carcinoma. Methods Retrospective analysis of 40 cases of primary liver cancer recurrence after resection of the hepatic artery angiography and chemoembolization results. Results The results of angiography were classified into three types: type Ⅰ (recurrent marginal type) in 11 cases (27.5%), type Ⅱ (intrahepatic disseminated type) in 23 cases (57.5%), type Ⅲ 6 cases, accounting for 15%. Contrast performance characteristics: the blood supply is relatively not rich, shallow staining of tumor nodules, lesions often showed multiple; small lesions (diameter <2.0 cm) more common. Conclusion Interventional treatment of recurrent liver cancer is also an effective treatment, and should be early (2 to 4 months after surgery).