摘要
目的 评价肝癌动脉化疗栓塞（ＴＡ）后联合经皮无水酒精注射术（ＰＥＩ）的效果。方法 ３２例肝癌患者ＴＡＥ１月后又经 ＰＥＩ２－１２次。依据病灶中碘化油充盈状况，将全部病人分为 ＡＳ两组，并观察了 ＴＡＥ＋ＰＥＩ对患者生存率与肿块大小的影响。结果ＣＴ示整个病灶或其边缘被碘化油充盈者归类于Ａ组（１３ 例）而病灶边缘与中心区均有碘化油充盈缺损者归类于Ｂ组（１９例）。ＴＡＥ后１、２、３年时生存率Ａ组为１００％、８４％、６１％，Ｂ组为９０％、６３％、４４％。Ａ组全部病人的肿块缩小，边缘清晰，而 Ｂ组有１１例的肿块缩小，３例未变，５例增大。结论ＴＡＥ＋ＰＥＩ对肝癌有明显疗效。
Objective To assess the efficacy of TAE combined with PEI (percutaneous ethanol injection) on HCC (hepatocellular carcinoma). Methods Thirty - two patients with HCC underwent additional PEI after TAE for one month Based on filled status of lipiodol in the lesions, all patients were divided into A and B group. The effects of TAE + PEI on remaining viable tumor size and survival rate in all patients were odserved. Results Whole lesion or its margin filled by lipiodol, which was seen on CT images were refered to A group(13 cases) Lesions in whech the margin and/or centre area with filled defects of lipiodol were refered to B group (19 cascs). The survival rate at 1st. 2nd and 3rd year after TAE were 100%, 84% and 61% for A group. and 90%, 63% and 44% for B group, respectively. In A group dimished masses with well defined margin were found in all patients but in B group, dimished masses were found in 11 cases, un- changed in 3 cases and enlarged in 5 cases. Conclusion TAE plus PEI have significant efficacy for treating HCCs
出处
《实用医学影像杂志》
2001年第2期95-96,共2页
Journal of Practical Medical Imaging
