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目的 观察肝动脉药物灌注加栓塞治疗６０ 岁以上老年患者原发性肝癌的疗效。方法 经肝总动脉或肝固有动脉灌注阿霉素５０ｍｇ 、丝裂霉素１０ｍｇ 、５ － Ｆｕ１０００ｍｇ ，再用明胶海绵微粒加碘油混合剂进行肿瘤血管栓塞治疗４９ 例６０ 岁以上原发性肝癌。结果 甲胎蛋白 Ａ Ｆ Ｐ 转阴１８ ％ ，明显下降的近４０ ％ ；生存期三个月为９８ ％ ，六个月为５４ ．５ ％ ，一年为２６ ．２ ％ ，两年以上为２ ．５ ％ 。结论 肝动脉灌注药物加栓塞治疗６０ 岁以上老年原发性肝癌效果良好，患者生存期明显长于全身化疗。
Objective To observe the effect of hepatic artery drug infusion and embolization on primary liver cancer in elderly patients over 60 years old. Methods 50 mg of adriamycin, 10 mg of mitomycin and 5-1000 mg of mitomycin were perfused through common hepatic artery or proper hepatic artery. Then vascular embolization of tumors was performed with Gelfoam particles plus lipiodol mixture to treat 49 cases of primary liver cancer above 60 years old. Results The alpha-fetoprotein A F P was negative in 18%, which was significantly decreased by nearly 40%. The survival period was 98% in three months and 54 in six months. 5 %, 26 in a year. 2%, 2 years or more. 5 %. Conclusion Hepatic arterial infusion of drugs plus embolization is effective for the treatment of primary liver cancer in the elderly over 60 years old. The survival period of patients is obviously longer than that of systemic chemotherapy.