论文部分内容阅读
作者对25例诊断为肝细胞癌而不能手术切除的病人行29次经导管动脉化学栓塞(TACE)治疗。其中注入肝总动脉4次,肝固有动脉12次,右或左肝动脉11例,右膈下动脉1例,胰十二指肠下动脉1例。栓塞剂是用碘油(15例/次)或明胶海棉(14例/次)与抗肿瘤药物(ADM10-40mg或MMC10-20mg)混合后经导管注入。TACE前后行上消化内镜检查,证实29例/次中13例/次(45%)TACE后出现胃、十二指肠新的病变或原病变加重。病变部位局限于胃体至十二指降部,最常见的
The authors performed 29 transcatheter arterial chemoembolization (TACE) in 25 patients who were diagnosed with hepatocellular carcinoma and were not surgically resected. Among them, the common hepatic artery was injected 4 times, the hepatic proper artery 12 times, the right or left hepatic artery 11 cases, the right infraorbital artery 1 case, and the pancreatic duodenal inferior artery 1 case. The embolization agent was infused with a mixture of iodized oil (15 cases/times) or gelatin sponge (14 cases/times) and antitumor drugs (ADM10-40mg or MMC10-20mg). Upper gastrointestinal endoscopy before and after TACE confirmed that 29 cases/time of 13 cases/times (45%) had new gastric or duodenal lesions or aggravated primary lesions after TACE. Lesions confined to the body to the descent, the most common