肝癌栓塞术后碘化油沉积形态与其疗效评价

Relations between iodinate oil filling shape and therapeutic effect after chemoembolization for liver cancer

目的：探讨肝癌栓塞术后碘化油沉积形态与临床疗效的关系。方法：60例原发性肝癌患者均行肝固有动脉造影、碘化油乳剂栓塞术，术后4-6周进行CT扫描，分析碘化油聚集形态与生存率的关系。结果：按其碘化油分布范围和沉积程度可将碘化油沉积形态分为完全型、缺损型、簇集型、稀少型，其2年生存率分别为69．2％、57．9％、20．0％、0／8。结论：肝癌栓塞术后碘化油沉积形态与临床疗效密切相关，碘化油充盈愈完全，生存率愈高。

Objective：To explore the relationship between iodinate oil filling shape and the clinical effect after chemoembolization for liver cancer. Methods： Sixty cases of primary hepatocellular carcinoma underwent radiography and transcatheter iodinate oil chemoembollzation（TOCE） via proper hepatic artery. CT scan was performed four to six weeks after TOCE. The shape of iodinate oil concentration and its relationship with the survival rate were analyzed. Results ： The iodinate oil filling shape after chemoembolization for liver cancer after TOCE could be classified into four types according to the distributive limits and deposition extent of iodized oil： complete type,defective type,aggregated type and sporadic type,the 2-year survival rates of these four types were 69.2% ,57.9% , 20.0% and 0/8, respectively. Conclusions： Clinical therapeutic effect is closely related to the iodinate oil morphology. The more iodinate oil is filled, the higher the survival rate will be.