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超选择瘤体内碘油栓塞小肝癌的临床分析

Small hepatocellular carcinoma treated by superselective intratumorou chemoembolization

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【作者】 李艳红吴朝阳杨国山齐建华王晓天

【Author】 LI Yan- hong, WU Zhao -yang, YANG Guo - shan, et al. ( Department of Radiology, The first He spital of Qinghua University, Beijing 100016, China; Department of Surgery, Beijing 100016, China)

【机构】 清华大学第一附属医院放射介入科清华大学第一附属医院普外科清华大学第一附属医院放射介入科 北京 100016北京 100016北京 100016

【摘要】 分析经微导管超选择瘤体内碘油栓塞小肝癌的临床疗效。41例小肝癌合并肝硬化患者,男39例,女2例;肝功能Child A级18例,B级23例;采用微导管技术,施行瘤体内碘油栓塞。术后1周肝功能较术前无显著性变化(p>0.05);AFP值明显降低,(P<0.01)。栓塞后1、2、3年生存率分别为100%、87%和74%。超选择瘤体内碘油栓塞小肝癌疗效肯定,是小肝癌非手术治疗的可靠选择。

【Abstract】 To retrospectively analyze the curative effect of small hepatocellular carcinoma treated by superselective intratumorous chemoembolization. 41 sHCC patients with liver cirrhosis were underwent the superselective intratumorous chemoembolization with a suspension of lipiodol, mitomycin- C and adriamycin. 39 of them were riale and 2 were female. All patients were classified as Child- Pugh A (n= 18) or B(n = 23). The complete intratumorous embolization was obtained in all patients. Although the ALT and GGT had no significant changes (P > 0.05), the value of AFP decreased remarkably after operation ( P < 0.01) . The 1 - , 2 - and 3 - year survival rates were 100%, 87% and 74%, respectively. The superselective intratumorous chemoembolization can be a valuable form of treatment for small HCC.

  • 【文献出处】 临床肝胆病杂志 ,Chinese Journal of Clinical Hepatology , 编辑部邮箱 ,2004年04期
  • 【分类号】R735.7
  • 【被引频次】1
  • 【下载频次】35
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