肝细胞癌(HCC)治愈性切除后,有时在近期内出现残肝复发癌,其原因可能是手术操作使癌细胞经门静脉播散。为了预防这类复发,作者进行超声引导下淀粉微球门静脉栓塞的研究,已初步取得成功。全组HCC 共8例,男7,女1,平均年龄58岁。所有病人都合并慢性肝病,如肝硬化(6)和慢性肝炎(2),只宜行限制性肝切除术。术前吲哚青绿试验为2.4～31.3%,Child 分类属A 级者4例,B 和C 级各2例。肿瘤位于后下亚段者4例,前下和前上亚段各2例。经上腹部切口进腹,先把超声探头放在肝表面,23号针在超声引导下穿刺供应肿瘤亚段的门静脉分枝,然后注入浓 After curative resection of hepatocellular carcinoma (HCC), recurrent cancer of the residual liver sometimes appears in the near future. The reason may be due to surgical operation that allows cancer cells to spread through the portal vein. In order to prevent such recurrence, the authors conducted ultrasound-guided microspheres portal vein embolization study, has been initially successful. There were 8 cases of HCC in the whole group, 7 males and 1 females, with an average age of 58 years. All patients with chronic liver disease, such as cirrhosis (6) and chronic hepatitis (2), should only undergo limited liver resection. The preoperative indigo green test was 2.4-31.3%, the Child classification was A grade 4 cases, and the B and C grades were 2 cases. Tumors were located in the posterior subsegment in 4 patients and in the anterior inferior and anterior superior segments in 2 patients. After the upper abdomen incision into the abdomen, the ultrasound probe is placed on the surface of the liver, and the 23-gauge needle is used to deliver the portal vein branches of the tumor sub-segment under ultrasound guidance and then injected into the portal vein.