论文部分内容阅读
作者将57例术前进行肝动脉内化疗栓塞(TCE)和同期39例单纯肝切除的肝细胞癌(HCC)进行对照研究。TCE的方法是20～30mg阿霉素注入肝动脉后,再注入20～30mg阿霉素和3～5 ml碘油混合液,最后注入明胶海绵碎片栓塞。将切除肝制成5 mm厚的切片,观察病变的病理学变化。结果发现,57例TCE中24例切除肝内可以确认转移灶(16例66.7%残肝复发),其中4例转移灶完全坏死、7例部分坏死、13例无变化。33例切除肝内无转移灶,7例(21.2%)残肝复发。39例单纯肝切除内
The authors conducted a comparative study of 57 cases of hepatocellular carcinoma (HCC) with intrahepatic arterial chemoembolization (TCE) and 39 cases of hepatectomy at the same time. TCE method is 20 ~ 30mg doxorubicin injected into the hepatic artery, and then injected 20 ~ 30mg doxorubicin and 3 ~ 5 ml of lipiodol mixture, and finally injected with gelatin sponge debris. The excised liver was made into 5 mm thick sections and the pathological changes of the lesions were observed. The results showed that metastases could be confirmed in 24 out of 57 TCEs (66.7% residual liver recurrences in 16 cases), of which 4 cases had complete necrosis of metastasis, 7 cases had partial necrosis, and 13 had no change. 33 cases had no metastases in the liver and 7 cases (21.2%) had residual liver recurrence. 39 cases of simple hepatectomy