超选择动脉栓塞在胆管细胞型肝癌介入治疗中的价值

THE VALUE OF SUPERSELECTIVE TRANSCATHETER ARTERIAL CHEMOEMBOLIZATION IN INTERVENTIONAL THERAPY OF CHOLANGIOCELLULAR CARCINOMA

目的探讨超选择性插管在胆管细胞型肝癌动脉灌注栓塞中的作用、疗效。方法超选择插管组54例进行栓塞化疗后与非超选择插管49例对照比较肝功能损伤及肿瘤内碘油沉积情况、并随诊6个月,1、2年的生存率。结果超选择插管组血清丙氨酸氨基转移酶及总胆红素等肝功能指标明显好于对照组(P<0.05),瘤灶内碘油沉积明显(P<0.01),生存期明显延长(P<0.01)。结论超选择性插管在胆管细胞型肝癌介入治疗中有重要价值。

Objective To probe the efficiency of superselective transcatheter arterial chemoembolization（STACE） in the treatment of cholangiocellular carcinoma. Methods Hepatic function lesion and iodinated oil deposition were compared between STACE group（54 cases）and non-STACE group（49cases）. The patients were followed up and 6-month, 1-year, 2-year survival rate were recorded. Results The indices of hepatic function such as ALT,TBIL in STACE group were better than that in non-STACE group; Iodinated oil deposition in tumor in STACE group was more prominent than that in non-STACE group; Survival rate in STACE group was higher than that in non-STACE group. Conclusion STACE shows great value in interventional therapy of cholangiocellular carcinoma.