中、晚期肝癌并发脾功能亢进的介入治疗

The Interventional Therapy of Middle. late Liver Cancer with Hypersplenism

目的探讨肝癌介入治疗与部分脾动脉栓塞同时进行的疗效。方法对18例不能手术切除且经B超或CT确诊,脾肿大并有WBC、PLT明显低于正常的肝癌患者行PSE+TACE或经导管肝动脉化疗(TAI)介入治疗,记录治疗前后WBC、PLT、甲胎蛋白(AFP)数值进行分析。结果栓塞后3天、7天、60天WBC、PLT值明显升高,AFP值明显下降,临床症状明显改善。结论PSE+TAI或TACE治疗肝癌并脾功亢进是一种行之有效的办法。

OBJECTIVE To evaluate the clinical efficacy of partial splenic embolizition(PSE)and TACE used in the same time.METHODS PSE and TACE were used in 18 patients with liver cancer that could not be cut off by operation.those patients were diagnosed as splenmegaly by B utira sound or CT and their White Blood Cells(WBC)and Platelets were significantly lower than normal.To record thoes numbers before and after treatment and analyse them. RESULTS The average count of WBC and platelets were significantly increased at 3,7and 60 days.AFP count significantly redused.clinical symptoms were significantly made better. CONCHUSION PSE and TACE used in same time are an effective method to cure the patients with liver cancer and hypersplenism.