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目的 :评价无水酒精 碘化油经导管动脉栓塞 (TAE)对原发性肝癌 (HCC)的疗效。材料与方法 :17例患者进行了 2 0次TAE治疗。无水酒精与碘化油体积比为 1∶1～ 1∶3 ,充分超选择栓塞 ,观察治疗前后AFP、CT、DSA的变化。结果 :2 0例次均成功地进行了肝脏亚段、亚 亚段栓塞 ,栓塞后DSA表现为肿瘤血管闭塞、肿瘤染色消失 ,肿瘤血管再通及侧枝循环形成均明显减少 ;CT显示肿瘤明显缩小、肿瘤内碘化油聚集明显且排空延迟。无明显副作用发生。结论 :无水酒精 碘化油TAE治疗HCC具有操作简便、副作用小、肿瘤血管再通及侧枝循环形成少的特点 ,可明显增强栓塞效果 ,同时减少TAE次数。
Objective: To evaluate the efficacy of anhydrous alcohol iodized oil by transcatheter arterial embolism (TAE) on primary liver cancer (HCC). MATERIALS AND METHODS: Twenty-seven patients underwent TAE 20 times. Anhydrous alcohol and iodized oil volume ratio of 1: 1 ~ 1: 3, adequate choice of embolization, observed before and after treatment AFP, CT, DSA changes. Results: Twenty-four cases of sub-subendocardial embolization were successfully performed in 20 cases. DSA showed tumor vessel occlusion after embolization, the tumor staining disappeared, tumor recanalization and collateral circulation were significantly reduced, and CT showed that the tumor was significantly reduced , The accumulation of iodized oil in the tumor is obvious and the emptying is delayed. No obvious side effects occurred. Conclusion: TAE of anhydrous alcohol iodized oil has the advantages of simple operation, small side effects, less recanalization of tumor vessels and less collateral circulation, which can obviously enhance the embolization effect and reduce the number of TAE.