论文部分内容阅读
本文报告39例肝肿瘤(37例为原发肝癌)使用开腹肝动脉栓塞方法治疗的体会。栓塞材料为:明胶海绵、TH胶、微球、碘油等。疗效:疼痛好转14例,体重增加12例,肿瘤缩小21例,疗效不明显10例,死亡2例。1例TH胶栓塞后4个月行二期切除成功,现术后生存11个月无复发征。1例肝右叶巨大肿瘤TH胶栓塞后缩小,达4年仍生存。体会:开腹肝动脉栓塞法,病理诊断明确,判断切除可能性确切,插管准确,发生异位栓塞机会少。
This article reports the experience of 39 cases of liver tumors (37 cases of primary liver cancer) treated with open hepatic artery embolization. Embolization materials: gelatin sponge, TH glue, microspheres, lipiodol, etc. Efficacy: The pain improved in 14 cases, weight gain in 12 cases, tumor shrinkage in 21 cases, efficacy in 10 cases, and death in 2 cases. One case of TH capsule embolization was performed 4 months after the second stage of resection, and there was no recurrence after 11 months of survival. One case of large right hepatic tumors shrank after TH embolization and survived for 4 years. Experience: open hepatic artery embolization method, pathological diagnosis clear, determine the exact possibility of resection, accurate intubation, less chance of heterotopic embolism.