120例肝癌肝动脉栓塞治疗的几点体会

The experience with the hepatic arerial embolization of hepetic malignant tumor in 120 patients

本文报告肝癌的选择及超选择性动脉数字减影血管造影(以下称IADSA)及介入治疗共120例。其中原发性肝癌98例,各类转移性肝癌22例,并分别以明胶海绵或碘油加丝裂霉素化疗栓塞,对后两者优者优劣进行了对比。肝癌的血供除来自肝动脉外,较大者常有膈下,胰12指肠、肾上腺等异常血供,处理是否恰当相当重要。IADSA法影像较清晰,可明显减少造影剂用量、节约胶片、缩短检查治疗时间为其所特有。

120 patients, 98 cases of unresectable hepatocellular carcinoma 92 cases of matastasis carcinoma have been treated by way of arterial digital subtraction angiography (IADSA) and transcatheter arterial embolization (TAE) with Gelform masses or Lipiodol mined with mitomycin-C. The embolitic effect of Gelform and Lipiodol was compared. The collateral artery was important in TAE. IADSA is an ideal method for diagnosis and interventional therapy of hepatic malignent tumour.