鹅颈式微导管应用于TACE治疗的临床研究

Swan-neck Microcatheter Used in TACE Treatment:a Clinical Study

目的研究鹅颈式微导管和直头微导管在TACE治疗中的优劣。方法选择适合TACE治疗的HCC患者,4FRH导管超选困难者52例双盲对照,两组之间在年龄、性别、病程及临床指标等方面无差异,具有可比性。应用PHILIPS CV20血管造影机造影显示治疗结果。结果鹅颈式微导管组曝光时间较直头微导管组缩短(P<0.01),导管通过率提高(P<0.05),2次手术肿瘤供血动脉闭塞率明显降低(P<0.05)。结论鹅颈式微导管更适用于TACE治疗。

Objective To study the merit and demerit of swan-neck microcatheter and straight microcatheter in transcatheter arterial chemoembolization（TACE） therapy for Hepatic cell carcinoma （HCC）. Methods Patients who adopted to TACE were enrolled, 52 patients who were unable to adopt the 4F-RH catheter as treatment group in a double-blind,placebo-controlled, randomized trial .There were no significant differences between two groups in age, gender, time of hospitalization and clinical markers （P〉0.05）.The results were showed by PHILIPS CV20 X-ray tube assembly. Results Compared with straight microcatheter group, exposure time was shorten in the swan-neck microcatheter group （P〈0.01） success rate was higher（P〈0.05） the occlusion rate of tumor feeding arteries was higher （P〈0.05）. Conclusion The swan-neck microcatheter has greater value in TACE therapy for Hepatic cell carcinoma.