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用碘油阿霉素乳剂化学栓塞治疗中晚期肝癌20例。发现AFP高值16例中8例下降,其中3例下降至正常值,有1例由>1000ng下降至<50ng,持续达一年之久。5例X线平片、B超、CT均提示肝脏肿块缩小,其中1例B超已不能辨认肿块。有7例存活半年以上。其中1例21个月仍存活。文中对两种插管方法的疗效进行了比较;对其适应症、禁忌症和并发症进行了讨论,并提出了初步改进意见。
The embolization of doxorubicin with adriamycin emulsion was used to treat 20 cases of advanced liver cancer. Eight of the 16 patients with high AFP values were found to have decreased, of which 3 had dropped to normal values, and 1 had decreased from >1000 ng to <50 ng, which lasted for a year. Five cases of X-ray, B-ultrasonography, and CT all indicated that the hepatic mass was reduced. One case of B-mode ultrasonography could not identify the tumor. Seven patients survived more than six months. One of these patients survived for 21 months. The efficacy of the two intubation methods was compared; the indications, contraindications and complications were discussed and preliminary suggestions for improvement were proposed.