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目的 :评价肝癌经动脉化疗栓塞 (TACE)后 ,对残存活灶在CT引导下经皮无水酒精注射治疗 (PEI)的临床价值。方法 :2 3例肝癌先行TACE后 ,对残余存活肿瘤在TACE间隔期内于CT引导下行PEI ,用增强CT或MRI评价肿瘤坏死情况。结果 :肿瘤均得到控制 ,13例残存活灶≤ 3cm者 ,11例均完全坏死 ,2例大部分坏死 ;10例残存活灶 >3cm者 ,3例完全坏死 ,7例部分坏死 ,术后无严重并发症。结论 :肝癌TACE结合PEI治疗 ,能较好提高疗效 ,是一种有效可行的方法。
Objective: To evaluate the clinical value of percutaneous ethanol injection therapy (PEI) for residual live lesion after transcatheter arterial chemoembolization (TACE). METHODS: Twenty-three patients with advanced hepatocellular carcinoma underwent TACE. The residual surviving tumor was guided by CT guided PEI at intervals of TACE, and the tumor necrosis was evaluated by enhanced CT or MRI. Results: All the tumors were under control. Thirteen patients survived ≤ 3 cm. All of them were completely necrotic in 11 patients, most of them were necrotic in 2 patients. Ten patients survived> 3 cm. Complete necrosis in 3 patients and partial necrosis in 7 patients. Serious complications. Conclusion: TACE combined with PEI can effectively improve the curative effect of hepatocellular carcinoma, which is an effective and feasible method.