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作者采用手术肝动脉插管栓塞治疗晚期肝癌患者19例,其中12例术后经留置的导管作了重复栓塞。术后的平均生存时间为8.7月。其中6例生存1年以上,文中介绍了手术插管和术中术后栓塞的技术方法和经验,认为高选择性插管和给药是提高疗效的关键。文中对肝动脉栓塞治疗晚期肝癌的有关问题,如栓塞治疗指征和栓塞剂选择等问题进行了讨论。
The authors used surgical hepatic artery catheter embolization to treat 19 patients with advanced hepatocellular carcinoma, of which 12 cases were treated with catheter embolization after indwelling. The average survival time after surgery was 8.7 months. Six of them survived for more than one year. The technique and experience of surgical intubation and intraoperative and postoperative embolization were described in this article. It is considered that high selective intubation and administration are the key to improve the therapeutic effect. This article discusses issues related to hepatocellular arterial embolization for advanced liver cancer, such as indications for embolization therapy and choice of embolic agents.