【摘要】 目的　研究微导管栓塞技术在小肝癌治疗中的临床价值。方法　 2 6例单结节小肝癌 (原发性 2 3例 ,转移性 3例 )接受了 83次微导管栓塞术治疗。其中 ,施行瘤内热碘油栓塞术 80次 (2 6例 ) ,载瘤动脉保护性微弹簧圈栓塞术 2次 ,瘤内动 静脉瘘无水酒精栓塞术 1次。结果　 2 6例均获得瘤体内完全性、充填性热碘油栓塞。 2例施行了手术切除 ,病理检查显示 :癌组织坏死 10 0 %。全组平均随访 35个月 (14～ 5 5个月 ) ,患者均存活 ,未发生严重并发症。结论　采用微导管栓塞技术治疗小肝癌的初步结果似乎与外科手术具可比性 ,能否替代手术尚需进一步随防研究和积累病例更多还原

【Abstract】 Objective To study the value of the intratumorous embolization therapy using the skills of microcatheterization for small carcinoma of the liver. Methods 83 cases of embolization therapy through microcatheter were performed in 26 patients who had single nodular hepatocellular carcinoma (23 patients) or liver metastasis (3 patients). 80 cases of the intratumorous embolization therapy using hot lipiodol (100℃) were performed in 26 patients. The protective embolization with microcoil were done in 2 patients. One case of the fistula embolization using absolute alcohol was done in one patient with small intratumorous A V fistula. Results The completely filled full intratumorous embolization was obtained in all patients, although the negative finding on angiogram of celiac and superior mesenteric arteries occured in 3 patients. The complete necrosis was confirmed in 2 patients followed by carcinoma resection. Within the follow up 14 months to 55 months (average 35 months), 26 patients were all alive and there was no serious complication occurred. Conclusions The completely filled full intratumorous embolization for small carcinoma of the liver can be achieved by using the skills of microcatheterization therapy. The satisfactoric priliminary results seem to be comparable to that of the surgery. There is need for further study.更多还原