【摘要】 目的:探讨肝癌的分化程度,组织学分类、生长方式、肉眼分类与磺油栓塞术疗效的关系。材料与方法:40例3CM以下小肝细胞癌,经肝动脉注入阿霉素、丝裂霉素、碘化油、明胶海绵后行手术切除,观察肝癌的分化程度、组织学分类、生长方式、肉眼分类等与肝癌坏死程度的关系。结果:碘油栓塞术疗效与细胞异型性及组织学分类无明显关系。33例包膜型肝癌中16例完全坏死,占48.5％,疗效优于浸润型。19例单结节型肝癌中10例完全坏死,占52.6％,疗效优于单结节周围增殖型及多结节融合型。结论:包膜型肝癌其碘油栓塞术疗效优于浸润型,单结节型肝癌疗效优于单结节周围增殖型及多结节融合型。在碘油栓塞术前通过影像学检查了解其肉眼分类、有无包膜,对碘油栓塞疗效的判定及预后的估计很有帮助。更多还原

【Abstract】 Purpose: To explore the correlation between the differential degree, histologic kinds, growth patterns, macroscopic classifications of hepatocellular carcinoma (HCC) and the efficacy of lipiodol transeatheter arterial embolization(TAE). Materials and Methods: Forty patients with small HCC (≤3. 0 cm in diameter) Underwent surgical operation after ADM, MMC, lipiodol and gelatin sponge to be injected into hepati-cartery. Results: No significant correlation between the efficacy of lipiodol TAE and the differential degree of HCC was found. there were sixteen cases of complete necrosis in thirty-three cases of expansive type HCC (48. 5% ), this efficacy was superior to that in infiltrated type HCC, there were ten cases of complete necrosis in nineteen cases of single nodular type HCC(52. 6% ), this efficacy was superior to that in those nodes with ex-tranodular growth and contiguous multinodular type HCC. Conclusion: Lipiodol TAE has obvious efficacy in the therapy of small HCC(≤3.0 cm in diameter), and particular single nodular and expansive type HCC, therefure, understanding whether HCC to be single nodular-type or expansive type by radiologic method befor treat of lipi-odol TAE is very useful for identifing the efficacy of lipiodol TAE and predicting the prognosis of HCC.更多还原