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目的:探讨肝癌肝动脉栓塞(TAE)后Ⅱ期切除的价值。方法:对90例无手术指征的原发性肝癌进行“夹心面包”法栓塞,部分加明胶海绵。结果:14例(15.3%)获Ⅱ期切除,其中12例(85.7%)有包膜,7例包膜完整,镜下肿瘤组织变性坏死,纤维包膜形成,炎细胞浸润,生存期半年13例(92.8%),1a12例(85.7%),2a10例(71.4%),其中1例已存活5a6个月。结论:TAE后Ⅱ期切除是治疗中晚期肝癌极有希望的治疗途径,值得推广。
Objective: To investigate the value of secondary hepatectomy after hepatic artery embolization (TAE). METHODS: Ninety percent of primary liver cancer without surgical indications was embolized by “sandwich bread” method and gelatin sponge was partially added. RESULTS: Fourteen patients (15.3%) were treated with stage II resection. Among them, 12 cases (85.7%) had capsules and 7 cases had intact capsules. The tumor tissues were degenerated and necrotic, the capsules were formed, and the inflammatory cells infiltrated. The survival period was six months in 13 cases (92.8%), 1a12 cases (85.7%), and 2a10 cases (71.4%). One case had survived 5a6 months. Conclusion: The secondary resection of TAE after TAE is a promising treatment for the treatment of advanced hepatocellular carcinoma. It is worthy of promotion.