摘要
目的 探讨肝癌的“双灌注”加部分脾栓塞术治疗价值。方法 38例肝癌行肝动脉灌注化疗与栓塞、脾动脉或肠系膜上动脉灌注化疗加部分脾栓塞治疗。结果 患者术后血象好转 ,门脉高压症状减轻 ,肝功能改善 ,1,2 ,3年生存率分别为 6 3.2 %,42 .1%,2 6 .3%。结论 肝癌“双灌注”加部分脾栓塞术是治疗肝癌特别是伴有门脉高压、脾功能亢进的肝癌的一种安全有效的方法 ,对伴有门静脉癌栓、肝动脉 门静脉瘘者也同样有效。
Objective To evaluate the value of 'double intra-arterial infusion of anti-cancerous agents' plus partial spleen embolization(PSE) for treating hepatic carcinoma.Method In 38 cases of liver tumors,their hepatic arteries were infused and emobolizated with anti-cancerous agents,their splenic arteries or mesenteric arteries were infused with anti-cancerous agents,the partial spleen embolization was used at the same time.Results The white blood cell and thrombocyte counts were improved,the symptoms of portal hypertension had some relief,and the liver functions were improved.The survival rate were 63.2%,42.1% and 26.3% respectively in follow-up for 1,2,3 year.Conclusions The intervention therapy is a safe and effective therapeutic method for heptic carcinoma,especially that compliated with portal hypertension and hypersplenism.Its also effective in the patients with tumor thrombi of portal vein and/or hepatic arterio-portal shunt.
出处
《现代诊断与治疗》
CAS
2002年第1期30-31,共2页
Modern Diagnosis and Treatment
关键词
肝肿瘤
脾功能亢进
部分脾栓塞术
双灌注
Liver neoplasms
Embolization
Portal hypertension
Hypersplenism
Partial spleen embolization(PSE)
Interventional therapy
