平阳霉素乳剂栓塞加热灌注治疗肝癌60例疗效观察及护理

Observation of therapeutic effect of Pingyangmycin lipodol emulsion embolization combined with hyperthermic perfusion in the treatment of 60 patients with liver cancer and nursing care

目的:探讨平阳霉素乳剂栓塞加热灌注治疗肝癌的疗效及护理方法。方法:对60例肝癌患者行经皮股动脉穿刺,选择性进入肝总动脉,在导引钢丝引导下进入直接供肿瘤细胞生长的血管内,进行热灌注及栓塞,并给予精心护理。结果:本组21例(35%)生存至今,存活2年者30例(50%),存活1年以上者49例(82%)。无1例发生并发症。结论:平阳霉素乳剂栓塞加热灌注治疗肝癌,并给予精心护理,可增强治疗效果,提高患者生存率。

Objective： To explore the therapeutic effect of Pingyangmycin lipodol emulsion embolization combined with hyperthermic perfusion in the treatment of liver cancer and nursing methods. Methods ： Embolization with Pingyangmycin lipodol emulsion plus hyperthermic perfusion was applied to acting on the blood vessels where tumor cells grow by means of entering hepatic arteries selectively under the guidance of steel wire by percutaneous femoral artery puncture, and careful nursing care was given at the same time. Results： So far 21 patients （35% ） have survived; 30 patients （50% ） survived for 2 years; 49 patients （ 82%） survived for one year. No complication occurred. Conclusion： The therapeutic effect of the embolization and perfusion can be strengthened and survival rate can be increased by giving patients careful nursing care in the treatment of liver cancer by Pingyangmycin lipodol emulsion embolization combined with hyperthermic perfusion.