摘要
门静脉癌栓是肝癌肝内广泛转移的根源,也是造成致命性上消化道大出血的原因。本文12例中晚期原发性肝癌并门静脉癌栓患者,于B超引导下进行门脉介入治疗,取得满意疗效。12例门脉癌栓大小为0.8×1.0～4.6×1.6cm,分别注入无水乙醇1.0～5.0ml。治疗后1周～1个月复查B超,门脉癌栓完全消失(治愈)3例(25％);缩小>1/2(显效)1例(8.3％);缩小<1/2(有效)4例(33.3％),无变化(无效)1例(8.3％);未复查3例(25％)。总有效率66.7％(8/12)。该法安全简便,疗效满意,为中晚期肝癌的治疗开辟了新途径。
Portal vein tumor thrombus (PTT)is the origin of cancer intrahepatic broadly metastasizing and also one of the major causes of fatal upper digestive bleeding. This paper reported that 12 advanced hepatocellular carcinoma patients complicated by PTT were satisfactorily treated by B-ultrasound induced injection of portal thrombosis. PTT in 12 cases ranging 0. 8×1.0～4.6×1.6cm were respectively injected alcohol 1.0～5.0ml. One week to 1 month after treatment B-ultrasoumd examination showed that PTT completely disappeared in 3 patients (25％),masses reduced more than 1/2 in 1 case (8.3％),less than 1/2 in 4 cases (33.3％),and one had no change (8.3％), the total effective rate in 66.7％. All data indicate that the treatment method is safe and simple, the theurapeutic effect is satisfactory. This method may be recommended as a new treatment for advanced liver cancer.
关键词
B超引导
原发性肝癌
门脉癌栓
介入治疗
肿瘤
Hepatocellular carcinoma Portal vein tumor thrombus (PTT) B-ultra-sound induced Injection.
