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目的 采用中药乌骨藤的灭菌水溶液(消痛平针剂)经肝动脉插管介入治疗晚期肝癌。方法 采用Seldinger技术将预成形RH导管选择性地插到肝总动脉,然后根据造影后肿瘤供血情况超选择地将导管插到相应的肿瘤血管,缓慢地注入消癌平针剂200—300ml,3—4周后重复插管治疗。结果 治疗后患者的临床症状,体征均有改善,生活状态评分有明显提高,生存质量亦有显著改善,优于化疗介入治疗。结论 消痛平介入治疗后无明显毒副作用,无肝肾功能损伤,易被患者接受,尤其适用于晚期肝癌患者。
Objective To treat hepatocellular carcinoma with hepatic arterial intubation with a sterile aqueous solution of Radix hepatica (Diaotongping injection). Methods The Seldinger technique was used to selectively insert the pre-shaped RH catheter into the common hepatic artery. Then the catheter was inserted into the corresponding tumor vessel superselectively according to the tumor’s blood supply after the contrast, and 200-300 ml of the cancer injection was slowly injected. Reintubation was repeated 4 weeks later. Results After treatment, the clinical symptoms and signs of the patients were improved, the scores of living conditions were significantly improved, and the quality of life was also significantly improved, which was superior to the interventional treatment of chemotherapy. Conclusion Xiaotongping has no obvious toxic and side effects after interventional treatment, no liver and kidney damage, and is easily accepted by patients. It is especially suitable for patients with advanced liver cancer.