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目前肝癌最有效的治疗方法仍是手术切除,但术后复发率相当高,为减低肝癌切除术后的高复发率,自1992年6月至1994年1月我们选择32例病人,在肝癌切除中,肝动脉、门静脉内置植入式药物泵,术后间断直接注药化疗,取得了很好的临床疗效。报道如下: 1 临床资料 1.1 一般资料 本组男24例,女8例,年龄最小42岁,最大68岁,平均52岁。本组病人均为原发肝癌,术前均经AFP、B超和CT检查及术后病理切片证实诊断。肿瘤直径3—5cm者8例,5—10cm者20例,10cm以上者4例。肿瘤位于肝左叶者14例,肝右叶者18例。
At present, the most effective treatment of liver cancer is still surgical resection, but the recurrence rate is quite high. To reduce the high recurrence rate after resection of liver cancer, we selected 32 patients from June 1992 to January 1994 to remove liver cancer. In the hepatic arteries and portal veins, implantable drug pumps were implanted directly after discontinuation of postoperative chemotherapy and achieved good clinical results. Reported as follows: 1 Clinical data 1.1 General information The group of 24 males and 8 females, youngest 42 years old, maximum 68 years old, average 52 years old. All the patients in this group were primary hepatocellular carcinoma. All patients were diagnosed by AFP, B-ultrasonography, CT examination and postoperative pathological section before operation. The diameter of the tumor was 3 to 5cm in 8 cases, 5 to 10cm in 20 cases, and 10cm in 4 cases. The tumor was located in the left lobe of the liver in 14 cases and the right lobe of the liver in 18 cases.