TACE联合人工胸水微波热凝治疗肝顶部肿瘤46例

Treatment of Liver Tumors in the Hepatic Dome by TACE Combined with Microwave Therapy via an Artificially Hydrothorax in 46 Cases

目的探讨应用肝动脉化疗栓塞联合人工胸水微波热凝治疗位于超声盲区的肝弯窿部肿瘤的应用价值。方法对肿瘤位于肝弯窿部的肝恶性肿瘤患者,行肝动脉化疗栓塞治疗联合微波热凝治疗术。结果本组患者治疗后,肿瘤不同程度消融,肿瘤标记物降低,效果满意,恢复良好。结论人工胸水使位于超声盲区无法进行超声引导经皮局部治疗的肝弯窿部肿瘤变为可治。微波热凝联合介入治疗肝膈顶部肿瘤是安全有效的治疗方法 。

Objective To evaluate the appliance value and security of hepatic artery chemoembolization combined with sonographically guided local therapy Via an artificially induced right hydrothorax to treat US-invisible liver tumors in the hepatic dome.Methods Malignant liver tumors in the hepatic dome were treated by hepatic arterial chemoembolization therapy combined with microwave coagulation therapy.Results These patients after treated acquired satisfactory results,and recovered well.At the same time,there are different degrees of tumor ablation and tumor markers decreased.Conclusion Sonographically guided local therapy in combination with the artificial hydrothorax method is strongly recommended for the treatment of liver tumors in the hepatic dome.Microwave coagulation combined with interventional treatment to liver cancer in the hepatic dome is safe and effective treatment.