超声引导经皮穿刺无水乙醇注射治疗肝癌的探讨

Approach to percutaneous ethanol injection therapy for the treatment of the liver cancer guided by ultrasound

目的 :探讨超声引导经皮穿刺无水乙醇注射治疗肝癌的方法和有效性。方法 :对 5 8例肝癌结节在超声引导监视下穿刺注射无水乙醇进行硬化治疗。结果 :5 8例在注射 3～ 6次后总有效率为 4 3.6 % ,其中 2 3例病理确认组的有效率为 6 0 .9% ,35例非病理诊断组的有效率为 31.4 %。 2 70次穿刺均一次成功 (10 0 % ) ,2 5 9次完成注射 (95 .9% )。常见并发症为疼痛和发热 ,但易于处理。结论 :超声引导经皮穿刺无水乙醇注射治疗肝癌是一种简单易行。

Objective:To study the methodology and effect of the treatment of the livercances guided by ultrasound.Methods:58 cases with 75 tumors were treated by percutaneous ethanol injection under the ultrasound guidance.Results:58 cases, after 3 to 6 injections had been done. effective ratio the nas 43.6%, within which 23 cases diagnosed with pathology,the effective ratio was 60.9%, 35 cases were diagnosed with nonpathologic methods,the effective ratio was 31.4%. All 270 punctures were successful (100%) with a satisfactory injection in 259 (95.9%). The common by-effects were pain and fever, which were dealt with easily.Conclusion:The study indicates this method is simple, safe and partly effective for the treatment of the liver cancer.