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我院放射科自1990年8月开展介入工作以来,至今对16例病人施行了30次肝动脉灌注和栓塞治疗,获得良好的效果,现将治疗方法和结果报告如下材料和方法本组病例男性13例,女3例,年龄41~70岁.主要症状和体征为右上腹部隐痛,食欲不振,体重减轻,肝脏增大等。全部病例均行B 型超声及肝动脉造影检查,5例CT 检查,8例AFP 测定,经过以上综合检查,诊断为原发性肝癌。其中10例为巨块型肝癌,4例为结节型,2例为弥漫型。我们采用美国CooK 公司7F Cobra、RH 或SIM 导管,局麻下采用Seldinger 技术经皮穿刺股动脉,经导引钢丝将导管引入股动脉、腹主动脉,然后选择性地插管至肝总动脉或肝固有动脉,造影
Since the radiology department of our hospital started intervention work in August 1990, it has so far performed 30 hepatic artery perfusion and embolization treatments for 16 patients and achieved good results. Now the treatment methods and results are reported in the following materials and methods. 13 cases, 3 females, aged 41 to 70 years old. The main symptoms and signs are the upper right abdomen, pain, loss of appetite, weight loss, liver enlargement and so on. All patients underwent B-mode ultrasound and hepatic arteriography, 5 CT scans, and 8 AFP measurements. After the above comprehensive examination, primary liver cancer was diagnosed. Of these, 10 were massive liver cancers, 4 were nodular, and 2 were diffuse. We used CooK 7F Cobra, RH, or SIM catheters from the United States, and percutaneously pierced the femoral artery under local anesthesia using the Seldinger technique. The guidewires were used to introduce the catheters into the femoral artery, abdominal aorta, and then selectively intubated into the common hepatic artery or Liver proper arteries, angiography