【摘要】 ２０例原发性肝癌，门静脉瘤栓位于右支者７例、左支１例、主于４例、主干＋右支８例。经肝动脉碘油化疗栓塞（Ｌｐ－ＴＡＣＥ）后，肝区平片和ＣＴ平扫显示瘤栓内Ｌｐ积聚呈Ａ型者９例、Ｂ型６例和Ｃ型５例。全组瘤栓缩小有效率４０％，平均生存期８．２个月，累积生存率６个月４５％、１年２０％、２年１０％。Ａ型瘤栓缩小有效率７７．８％，平均生存期１２．７个月，累积生存率６个月７７．８％、１年４４．４％和２年２２．２％明显高于Ｂ型和Ｃ型。表明Ｌｐ－ＴＡＣＥ对部分肝癌门静脉瘤栓病人特别是Ｌｐ呈Ａ型积聚者是较有效的方法。更多还原

【Abstract】 This paper reported 20 cases of hepatocellular carcinoma with portal vein tumor thrombosis of which 7 cases presented tumor lhrornbus growing into the right branch,1 case into hte left branch,4 cases into the main trunk and 8 cases involving both the right branch and the main trunk.After transcatheter hepatic arterial lipiodol chemo-embolization(Lp-TACE),plain film of ab-domen and CT scan disclosed three type of accumulation of lipiodol in the tumor thrombus,including Atype (columnar or oval, homoge neous type) in 9 cases,B type(scanty linear or speckled type)in 6cases and C type(no lipiodal deposition)in 5 cases. In all patients,the effective regression rate of tumor thrombus was 40%。 The average survival time was 8;2 months,the cumulative survival rate was 45%for 6 months, 20%for 1 year and 10%for 2 years. In A type of patients,the effective re-gression of tumor thrombus was 77.8%,the average survival time was 12.7 months, the cumulative survival rate was 77.8%for 6 months, 44.4%for 1 year,and 22.2%for 2 years, demonstrating that the result with type A was better than with B and C types of patients.It was suggested by the authors that Lp-TACE was an effective method of treatment for selective patients of hepatocellular carcinoma with portal vein tumor thrombosis,especially for A type of cases.更多还原