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自1989年11月至1990年10月我院经皮穿刺肝动脉栓塞术(TAE)治疗原发性肝癌46例,其中栓塞术后切除2例,现报告如下。例1 男性,30岁。因右季肋部不适、闷痛2个月于1989年11月14日入院,无肝炎病史。体检:巩膜不黄,浅表淋巴结不大,肝肋下1cm,质中,脾肋下未触及,无腹水征。化验检查:AFP<25μg/L,A/G1.54:1,SGPT正常,HBsAg阳性。腹部CT检查肝右叶9.2×6.6cm低密度区,提示肝癌。1989年11月30日经皮股动脉穿刺从右肝动脉注入阿霉素50mg、丝裂霉素C12mg,超化碘油10ml混合液,见整个肿瘤积聚药物。40天后CT复查,右肝9.3×6.7cm肿块,内有大片高密度碘油存留。栓塞术后2个月剖腹探查发现肝硬化,肝右叶肿块侵及膈肌及右侧腹壁,作不
From November 1989 to October 1990, 46 cases of primary liver cancer were treated with percutaneous transhepatic artery embolization (TAE) in our hospital. Among them, 2 cases were treated with embolization after surgery. The present report is as follows. Example 1 Male, 30 years old. He was admitted to hospital on November 14th, 1989 because of discomfort and nausea in the right quarter ribs. He had no history of hepatitis. Physical examination: The sclera is not yellow, superficial lymph nodes are not large, the liver is under the ribs 1cm, quality, spleen is not touched under the ribs, no ascites sign. Laboratory tests: AFP <25μg/L, A/G1.54:1, SGPT normal, HBsAg positive. Abdominal CT examination of the low density area of 9.2 x 6.6 cm in the right lobe of the liver suggests liver cancer. On November 30, 1989, percutaneous femoral artery puncture was performed by injecting 50 mg of doxorubicin, 12 mg of mitomycin C, and 10 ml of a mixture of lipiodol in the right hepatic artery. See the entire tumor accumulation drug. After 40 days of CT review, the right liver had a 9.3 x 6.7 cm mass with large, high-density lipiodol retention. Liver cirrhosis was found after laparotomy at 2 months after embolization. The right hepatic lobe invaded the diaphragm and the right abdominal wall.