【摘要】 目的　总结经导管肝动脉化疗栓塞治疗结直肠癌肝转移瘤的效果。方法　 42例结直肠癌肝转移者 ,其中单纯灌注化疗 14例 ,化疗栓塞 2 8例。经肝动脉灌注化疗药物 ,碘油药物乳剂和明胶海绵栓塞。结果　完全缓解 (CR) 2例 (4 .8% ) ,部分缓解 (PR) 2 0例 (4 7.6 % ) ,无变化 (NC) 18例(4 2 .9% ) ,进展 (PD) 2例 (4 .8% ) ,有效率 (CR +PR) 5 2 .4% (2 2 / 42 )。平均生存期为 16 .4个月。 0 .5、1和 2年的生存率分别为 90 .5 %、6 6 .7%和 2 3.8%。结论　经导管肝动脉化疗栓塞治疗结直肠癌肝转移是一种有效的方法更多还原

【Abstract】 Objective To analyse the clinical effectiveness of transcatheter hepatic artery chemo embolization on hepatic metastasis from colorectal carcinomas.Methods 42 cases were divided into 2 groups:simple chemotherapy group ( n =14), chemotherapy and embolization group ( n =28). After catheter was selectively inserted into hepatic artery, and then followed by chemotherapy, lipiodol and gelfoam infusion. Results CR 2 cases (4.8%); PR 20 cases (47.6%); NC 18 cases (42.9%); PD 2 cases (4.8%). The total anticancer effective rate (CR+PR) was 52.4%. The avevage survival time was 16.4 months. The 0.5 ,1 ,2 year survival rates were 90.5%, 66.7% and 23.8%, respectively.Conclusions Transcatheter hepatic artery chemo embolization is an effective method to treat liver metastasis of colorectal carcinomas. It is more effective than the simple chemotherapy.更多还原