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随着小型肝癌的发现及肝脏手术的进步,肝癌患者进行切除手术的逐步增加。但是,必须采用非手术疗法的病人仍然很多,特别是手术后复发的病例,非手术疗法更为重要。肝癌的非手术疗法分为(1)全身化疗;(2)放射治疗和温热疗法;(3)包括动脉栓塞术在内的肝动脉注入化疗药物疗法;(4)门静脉内注入抗癌药及栓塞的疗法等多种。本文将以碘化油(LP)及明胶海绵(GS)与抗癌药一起进行的肝动脉栓塞术(TAE)为中心加以叙述。一、化疗药物动脉注入法
With the discovery of small-scale liver cancer and the progress of liver surgery, liver cancer patients have gradually increased their resection operations. However, there are still many patients who must use non-surgical treatments, especially those that recur after surgery. Non-surgical treatments are more important. Non-surgical treatment of liver cancer can be divided into (1) systemic chemotherapy; (2) radiation therapy and thermotherapy; (3) injection of chemotherapy drugs into the hepatic artery including arterial embolization; (4) injection of anticancer drugs into the portal vein and Embolization therapy and many other. This article will focus on hepatic artery embolization (TAE) performed with lipiodol (LP) and gelatin sponge (GS) together with anticancer drugs. First, arterial injection of chemotherapy drugs