【摘要】 目的 观察肝转移癌的造影表现及肝动脉灌注化疗栓塞治疗肝转移癌的疗效.方法 总结分析行TACE治疗的67例肝转移癌的造影表现及疗效,全部病例均经2次以上TACE或TAC治疗,共230次.灌注化疗加栓塞者58例,占87%.结果单发转移3例,多发转移61例,弥漫转移3例;多血供型24例,少血供型43例;总有效率87%,显著有效率52%.结论TACE目前是治疗肝转移癌尤其是多发肝转移癌的首选方法,但其疗效有待于进一步提高.更多还原

【Abstract】 ObjectiveTo improve therapeutic efficacy of transcatheter hepatic arterial infusion chemotherapy alone or chemoembolization in treatment of hepatic metas-tases. Methods: Summarize and analyse angiographic appearances and therapeutic efficacy of TAC alone or TACE in 67 patients with hepatic metastases in our hospital from 1989 to 1997,which received at least 2 times of interventional treatments. All together 230 times. Results :The group included’single-focus metastasis 3 cases,multiple-foci 61 cases and diffused foci 3 cases; hypervascular-type 24 cases, hypovascular-type 43 cases. Total effective rate was 87%,effectual rate was 4296. Conclusion: TACE is the first choice in treatment of hepatic metastases, especially for multiple hepatic metastases. But its therapeutic efficacy should be further improved.更多还原