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目的:观察采用隔离带式无水酒精注射治疗边缘型肝癌的临床疗效。方法:16例肿瘤直径2～5cm的边缘型肝癌患者,超声引导下首先在距离肿瘤边缘约1～2cm的肝实质围绕肿瘤注射无水酒精,固化肿瘤边缘肝组织,在肿瘤与正常肝组织之间建立隔离带,再于肿瘤内注射无水酒精,固化肿瘤组织,通过复查CT、化验AFP、穿刺活检观察其疗效。结果:注射后二月起瘤体逐渐缩小,AFP从注射后一月起逐渐恢复正常,注射后六个月穿刺活检未见癌细胞。结论:隔离带式无水酒精注射治疗边缘型肝癌具有良好的临床疗效。
Objective: To observe the clinical curative effect of isolated band-type anhydrous alcohol in the treatment of marginal liver cancer. Methods: Twenty-six patients with marginal liver cancer of 2 ~ 5 cm in diameter underwent ultrasound-guided first injection of absolute alcohol around the tumor in the liver parenchyma about 1 ~ 2 cm from the edge of the tumor to solidify the marginal liver tissue of the tumor. Between the establishment of isolation zone, and then in the tumor injection of anhydrous alcohol, solidified tumor tissue, through the review of CT, laboratory AFP, biopsy to observe its efficacy. Results: The tumor size gradually decreased from February after injection. AFP gradually returned to normal from January after injection. No cancer cells were seen in the biopsy six months after injection. Conclusion: The isolation of anhydrous alcohol injection for the treatment of marginal liver cancer has a good clinical efficacy.