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目的:探讨原发性肝癌术后复发行介入治疗方法和意义。方法:Seldinger法穿刺右股动脉,引入5F肝管,行腹腔干、肠系膜上动脉、右膈下动脉、右肾动脉造影,对肿瘤供血靶动脉行栓塞化疗术,术后必要时联合微波消融术巩固治疗。结果:术后3个月73.3%患者症状好转、肿块缩小,0.5,1,2,3,5 a生存率分别为86.6%,73.3%,43.3%,23.3%,6.7%,其中1例已存活9 a。结论:原发性肝癌术后复发行介入治疗效果满意,无明显不良反应,可有效延长患者生存期。
Objective: To explore the method and significance of interventional therapy of recurrent primary liver cancer after operation. Methods: The right femoral artery was punctured by Seldinger’s method. The 5F hepatic duct was introduced into the abdominal cavity. The celiac trunk, superior mesenteric artery, right hypoglossal artery and right renal artery angiography were performed. The target artery of tumor was embolized and chemoembolized. When necessary, combined with microwave ablation Consolidate treatment. Results: At 3 months after operation, the symptoms of 73.3% were improved and the tumor size was reduced. The survival rates at 0.5, 1, 2, 3 and 5 years were 86.6%, 73.3%, 43.3%, 23.3% and 6.7% 9 a. Conclusion: The recurrence of primary hepatocellular carcinoma after operation is satisfactory with no significant adverse reactions, which can effectively prolong the survival of patients.