摘要
自1985年起用氰基丙烯酸酯(TH胶)肝动脉支铸型栓塞法治疗中、晚期肝癌38例,胆管细胞癌和肝肉瘤各1例,随访观察8年。结果:本组病例的中位生存期为12个月,平均生存期超过18个月,3例生存6年半以上。讨论了肝癌供血特征和TH胶行肝动脉支铸型栓塞治疗原发性肝肿瘤的适应症及异位栓塞的防治办法,认为肿瘤血管完全闭塞可以提高生存期和治愈率。
From March 1985 to June 1991, 40 patients with intermediate/advanced primary tumor of the liver were treated with Cyanoacrylate (TH) glue cast embolization via hepatic artery branch. On follow up to 8 years,the mediansurvival time was 12 months,the average survival time was more than 18 months,and 3 patients survived more than 6. 5 years with no tumor detectable as well as no AFP elevation. The purpose of the paper is to discuss the blood supply characteristics of primary tumor of the liver. The results indicate that this method of treatment can prolong the survival time and increaes the cure rate of the patient.