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经导管动脉栓塞目前是治疗小细胞肝癌的主要方法。作者回顾性研究了1988~1990年间100例肝硬化伴有124个直径小于4cm肿块的患者,年龄47~76岁。男75例,女25例。其中29例患者的29个肿块无法明确其解剖定位或经肝亚段动脉插管失败。故经肝亚段动脉插管的总成功率是81%。治疗方法是经导管注入碘油与抗癌药物的混合物,并随后用明胶海绵栓塞或使用碘油与纯乙醇的混合物。113
Transcatheter arterial embolization is currently the main method for the treatment of small cell carcinoma. The authors retrospectively studied 100 patients with cirrhosis and 124 patients with a diameter of less than 4 cm from 1988 to 1990, aged 47 to 76 years. 75 males and 25 females. Twenty-nine of the 29 patients had unclear anatomical localization or failure of transcatheter arterial cannulation. Therefore, the total success rate of arterial intubation through the liver subsegment is 81%. Treatments are catheterized by injecting a mixture of lipiodol and an anticancer drug and then embolized with a gelatin sponge or a mixture of lipiodol and pure ethanol. 113