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本文报道采用超选择性肝动脉插管注射鸦胆子油/碘油阿霉素超液化乳剂(YLAE)治疗中晚期肝癌76例,临床分期;Ⅲ期10例,Ⅳ期66例。鸦胆子油乳具有抗癌、栓塞、载体和乳化多重作用,使ADM 充分包围在油相中,由于碘油、鸦胆子油“双载体”的协同作用,ADM 随碘油、鸦胆于油停留在肿瘤区域,长期滞留,缓慢释放,可使肿瘤组织长期保持药物的高浓度。本组15例巨块型肝癌(肝肿块占位大于全肝的70%)术后体积均缩小50%。7例获得二期手术切除机会。6个月生存率70%,1年生存率44%,2年生存率(?)%。5例已存活2年,1例存活3年,目前仍在随访中。本文并对中西药结合的化疗栓塞剂的多功能特性、化疗栓塞机理等进行了讨论。
This article reported the use of superselective hepatic artery catheter injection of Brucea javanica oil / lipiodol doxorubicin super-liquefied emulsion (YLAE) in the treatment of 76 cases of advanced liver cancer, clinical staging; III in 10 cases, IV in 66 cases. Brucea javanica oil emulsion has multiple actions of anti-cancer, embolization, carrier and emulsification, which fully surrounds the ADM in the oil phase. Due to the synergistic action of iodized oil and Brucea javanica oil “two carriers”, ADM stays in the oil with lipiodol and crust. In the tumor area, long-term retention, slow release, can make tumor tissue maintain a high concentration of drugs for a long time. In this group, 15 cases of massive liver cancer (hepatic mass occupying more than 70% of whole liver) had a 50% reduction in postoperative volume. Seven patients received a second-stage surgical resection. The 6-month survival rate was 70%, the 1-year survival rate was 44%, and the 2-year survival rate (?)%. Five patients had survived for 2 years and 1 patient survived for 3 years. They are still being followed up. In this paper, the multi-functional characteristics of chemoembolization agents combined with western medicine and chemoembolization mechanism were discussed.