摘要
目的 :探讨利用CT观察肝癌内碘化油沉积情况 ,来指导再行TACE治疗时机。方法 :对临床诊断证实的 12 0例原发性肝癌患者 ,采用Seldinger技术经皮行选择性肝动脉插管TACE治疗术 ,术后 4周再行CT平扫 ,观察肝癌区内碘化油沉积情况。结果 :12 0例患者TACE治疗间隔时间最短为 1个月 ,最长为 6个月 ;治疗后肿瘤灶缩小约 5 0 %者 32例 (2 6 .7% ) ,肿瘤缩小约 30 %～ 4 0 %者 6 6例 (5 5 .0 % ) ,肿瘤无明显变化者 2 2例 (18.3% )。患者生存率 2年者 86例 (71 7% )、3年者 18例 (15 % )、4年者 12例 (10 % )、5年者 4例 (3.3% )。结论 :利用CT观察肝癌内碘化油沉积情况 ,指导再行TACE治疗时机 。
Objective:Exploration using CT to observe iodized oil keeping in the hepatocarcinoma lesion to guide the opportunity of vascular intervention treatment again.Methods:Using Seldinger technique, performing transcatheter arterial chemotherapy and transcatheter arterial iodized oil embolization to treat 120 cases hepatocarcinoma who confirmed by clinical diagnosis. Four weeks after intervention treatment, performing common CT scan in order to observe the situation that iodized oil be kept in the hepatocarcinoma lesion.Results:The interval of vascular intervention treatment is 1-6 months.The subsist rate of the patients:two years is 86 cases(71.7%);three years is 18 cases(15%);four years is 12 cases(10%);five years is 4 cases(3.3%).Conclusion:It is a simple?available and ideal method that using CT to observe iodized oil keeping in the hepatocarcinoma lesion to guide the opportunity of vascular intervention treatment again.
出处
《医学影像学杂志》
2002年第4期303-305,共3页
Journal of Medical Imaging
