肝癌碘油栓塞后肝区平片所见碘油沉积量与疗效关系

The Roentgenologic Evaluation of the Amount of Lipiodol Deposition and the Therapeutic Effect by Lipiodol Embolization in Liver Cancer

本文分析了90例肝癌肝动脉灌注化疗碘油栓塞后,肝区平片所见碘油沉积量和疗效的关系。碘油沉积分为多,中,少三组,从ATP下降,肿瘤缩小率及一年生存率三方面比较。结果沉积多的与中等组三项都有显著差别;沉积中等的与少的组差别不明显。说明碘油沉积要达到一定的量后,疗效才会显著提高。同时分析了影响碘油沉积的几个因素。

The relation between the amount of lipiodol deposition by intrahepatie arterial lipiodol embolization together with perfusion of chemotherapeutic agents and the efficacy of the therapy was evaluated in 90 cases of liver cancer. Resulting in 3 groups: 1 abundant, 2 moduate and 3 mild. There were prominent differences between group 1 and 2, but only slight differences for group 2 and 3 according to the rates of AFP lowering, turner shrinkage and 1 year survial. Thus the obvious high therapeutic efficacy was proportional to the amount of lipiodol deposition. The factors influencing the deposition of lipiodol was also discussed.