术中双途径化疗栓塞置管介入治疗晚期肝癌的疗效观察

Therapeutic efficacy of double channel transcatheter chemoembolization during operation for advanced hepatocellular carcinoma

２１例手术探查证实为病灶不能切除的晚期肝癌病人，在术中作肝动脉和门静脉插管并将与导管相连的注药盒埋置皮下，术后经注药盒行反复化疗栓塞治疗。药物包括阿霉素１０～３０ｍｇ、丝裂霉素１０～２０ｍｇ、卡铂１００～３００ｍｇ及超乳化碘油１０～３０ｍｌ。结果１６例生存超过１年，１年内死亡５例。

TWenty-one patients with advanced hepatocellular carcinoma received surgical exploration and the nidi could not beresected. The catheter linked with drug box was inserted into the hepatoartery and portal vein at the surgery. The chemoembolizationwas given repeatedly through the drug box. The drugs included adriamycin 10--30 mg, mitomycin C 10--20 mg, carboplatin 100-300mg and lipidol 10-30 ml every time. The results showed that 16 patients survived more than one yeal 5 died with the survival timeless than one year.