摘要
目的 :评价综合应用化疗栓塞和瘤内无水酒精注射术治疗小肝癌的临床效果。方法 :2 4例患者 ,其中原发性肝癌 2 3例 (包括外科手术后复发性肝癌 3例 ) ,转移性肝癌 1例 ,瘤体平均大小为 4.1cm× 3 .7cm。先行超选择性肝动脉内化疗栓塞 ,术后 1周内再于瘤体内注射无水酒精。间隔 3～ 4周重复上述治疗 ,每例行综合介入治疗 2～ 3次。结果 :2 4例患者中 2 0例病变区有明显碘油沉积 ,综合介入治疗后无严重并发症发生。随访 8～ 2 6个月无死亡病例 ,瘤体明显缩小者 2 1例 (占 87.0 % ) ,16/17例患者AFP降低明显 ,14例经 2～ 3次介入治疗后病灶稳定。 3例介入治疗后手术病理切片示肿瘤组织基本坏死 ,瘤体周围包膜形成。结论
Objective:To evaluate the primary curative effect of treating the small liver neoplasm using a combination of transcatheter arterial chemoembolization (TACE) and percutaneous ethanol injection (PEI). Methods:24 patients including 23 hepatocellular cacinoma (HCC) and 1 metastatic tumour from colon were studied.The mean tumour size was 4.1cm× 3.7cm.All patients were firstly treated with TACE,then PEI within 7 days after TACE.The treatment was repeated every 3～4 weeks and every patient was treated 2 to 3 times.Results:20 of 24 patients showed obvious lipiodol aggradation on X-ray.No serious complications after the interventional therapy were observed.Followed up 8～26 months,the size of tumor mass had obviously reduced in 21 patients (87.5% of the patients);the AFP level decreased in 16 patients.The tumor size remained unchanged in 14 patients.Pathologic study showed necrosis of tumor tissue in three patients who received surgical resection after the interventional treatment.Conclusion:Combined PSE and PEI is a safe and effective treatment for small liver neoplasm.
出处
《放射学实践》
2004年第10期740-742,共3页
Radiologic Practice
关键词
肝肿瘤
栓塞
治疗性
放射学
介入性
血管造影术
数字减影
Liver neoplasms
Embolization,therapeutic
Radiology,interventional
Angiography,digital subtration
