336例原发性中晚期肝癌介入治疗中碘油用量及临床分析

罗小平; 淦伟; 喻明宪; 杨伟; 沈霞

doi:10.13406/j.cnki.cyxb.2001.03.018

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336例原发性中晚期肝癌介入治疗中碘油用量及临床分析

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- 336例原发性中晚期肝癌介入治疗中碘油用量及临床分析
- Amount of lipiodol and clinical analysis of 336 cases of large liver cancer in interventional therapy
- 重庆医科大学学报 2001年第3期页码：282-284
- 作者机构：
  
  1. 重庆医科大学第二临床学院放射科
  2. 重庆医科大学第二临床学院放射科,重庆,400010
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2001.03.018
  中图分类号： R735.705
- 纸质出版日期：2001，
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[1]罗小平,淦伟,喻明宪,杨伟,沈霞.336例原发性中晚期肝癌介入治疗中碘油用量及临床分析[J].重庆医科大学学报,2001(03):282-284.

LUO Xiao - Ping, et al. Amount of lipiodol and clinical analysis of 336 cases of large liver cancer in interventional therapy[J]. Journal of Chongqing Medical University, 2001,(3):282-284.
[1]罗小平,淦伟,喻明宪,杨伟,沈霞.336例原发性中晚期肝癌介入治疗中碘油用量及临床分析[J].重庆医科大学学报,2001(03):282-284. DOI： 10.13406/j.cnki.cyxb.2001.03.018.

LUO Xiao - Ping, et al. Amount of lipiodol and clinical analysis of 336 cases of large liver cancer in interventional therapy[J]. Journal of Chongqing Medical University, 2001,(3):282-284. DOI： 10.13406/j.cnki.cyxb.2001.03.018.

摘要

目的：探讨中晚期肝癌介入治疗中导管位置与碘油用量的关系以及碘油用量对临床疗效、副作用的影响。方法：回顾采用肝固有动脉给药的病例８６例及高度选择性栓塞治疗的肝癌２５０例，并比较二者的疗效、副作用与碘油用量的关系。结果：本组病例肝癌大小３—１５ｃｍ，８６例为肝固有动脉给药治疗１～３次者，碘油用量５—１０ｍｌ／次，肿瘤明显缩小２０例（２３％），２年生存５例（６％）。高度选择性栓塞治疗１～３次的２５０例，碘油用量１５—４０ｍｌ次，肿瘤明显缩小１６３例（６５％），２年生存７８例（３１％）。结论：肝癌超选择性栓塞的碘油用量与疗效成正比，副反应随碘油用量轻微增高；固有肝动脉栓塞疗效较差、副作用大。

Abstract

Objective :To evaluate the relationship between place of catheter and amount of lipiodol and its in- fluence upon clinical effects and negative effects. Methods :86 cases of transcatheter proper hepatic arterial em- bolization and 250 cases of super selective segmental transarterial embolization(STAE) were analyzed respective- ly and curative effects and negative effects of the two and the relationship with amount of lipiodol were com- pared. Results: Liver neoplastic size of all cases were 3 - 15cm. For 86 cases of proper hepatoarterial emboliza- tion

the amount of lipiodol was 5 - 10ml. Obvious tumor shrinking occurred in 20 cases(23% )

the 2-year sur- vival in 5 cases (6%).For 250 cases of STAE

the amount of lipiodol was 15 - 40ml. Obvious tumor shrinking occurred in 163cases (65%)

the 2 - year survival occurred in 78 cases(31%). Conclusion :For STAE

amount of lipiodol is in direct proportion to curative effects and negative effects increase slightly as the amount of lipiodol increases. For transcatheter proper hepatic arterial embolization

curative effects were poor

negative effects were obvious.

关键词

中晚期肝癌介入治疗碘油量

Keywords

Liver cancerinterventional therapyAmount of lipiodol

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