【摘要】 目的研究原发性肝癌合并糖尿病的介入治疗方法。方法临床明确诊断的42例肝癌合并糖尿病患者在介入治疗前后通过口服降糖药或注射胰岛素将血糖、尿糖控制在安全范围内,并对隐性感染或感染源进行治疗,然后再行肝动脉化疗灌注栓塞术。结果42例患者介入治疗前血糖均降到9.0mmol/L以下,尿糖控制在-～++,术后均未发生严重并发症,仅有2例出现慢性胆囊炎急性发作,经抗炎、利胆治疗后安全出院。结论原发性肝癌合并糖尿病患者在血糖、尿糖降到一定的范围内,消除潜在的感染,行肝动脉化疗灌注栓塞治疗是安全可行的。更多还原

【Abstract】 Objective To study the interventional approach in primary hepatocellular carcinoma(HCC) complicated with diabetes. Methods Blood and urine glucose of 42 patients with HCC accompanying diabetes were effectually controlled before and after interventional treatment by oral drug or insulin injection,and latent infection or infection source was treated immediately. All cases were treated with transhepatic arterial chemoembolization(TACE). Results The blood glucose of all patients decreased to 9.0 mmol/L and urine glucose were controlled at -～++. No serious complications were found after operation. Acute attack of chronic cholecystitis were occurred in 2 cases and completely recovered after treatment. Conclusion The interventional treatment with hepatic arterial chemoembolization is indeed an effective and safe approach in HCC complicated with diabetes while blood and urine glucose have been effectively controlled in certain range and latent infection have been eliminated.更多还原