郑加生 崔雄伟 高艳 李继芬 100031 北京急救中心放射科导管室(郑加生、崔雄伟、高艳)；电子工业部四○二医院(李继芬) 中华内科杂志 1998 0 37 8


    关键词：肝细胞瘤；栓塞，治疗性；双介入疗法 期刊 zhnkzz 0 论 著 fur -->


    

【摘要】 目的 评价CT导引双介入疗法治疗肝癌的效果。方法 150例肝癌患者中64例行单纯经导管肝动脉内含碘化油明胶海绵化疗栓塞术(LpGsTAE)，86例行CT导引双介入治疗(CT-DIT)，即指经皮肝肿瘤内无水乙醇注射(PEI)和LpGsTAE方法的联合应用。观察两组的疗效和生存率。结果 CT-DIT组完全缓解率为62.8%，LpGsTAE组为37.5%，CT-DIT组疗效优于LpGsTAE组；两组病死率比较，CT-DIT组低于LpGsTAE组，差异有极显著意义。结论 采用LpGsTAE治疗肝癌有一定局限性，而采用CT-DIT治疗可弥补其不足。尤其对于不能手术的肝癌，CT-DIT是一种安全有效的方法。

    CT-guided double intervention therapy in thetreatment of hepatocarcinoma Zheng Jiasheng, Cui Xiongwei, Gao Yan, et al. Department of Interventional Radiology, BeijingEmergency Medical Center. Beijing 100031

    【Abstract 】 Objective Toevaluate the effectiveness of treating hepatocarcinoma with CT-guided double interventiontherapy (CT-DIT). Methods 64 casesof hepatocarcinoma were treated with transcatheter hepatic artery lipiodol and gelfoamchemoembolization (LpGsTAE), 86 cases of hepatocarcinoma were treated with CT-guidedpercutaneous absolute ethyl alcohol injection (PEI) as well as transcatheter hepaticartery lipiodol and gelfoam chemoembolization (CT-DIT). The therapeutic effectiveness andsurvival rate were observed. Results The rate of complete remission was 62.8% in the CT-DIT group, whileit was 37.5% in the LpGsTAE group. CT-DIT is more effective than LpGsTAE (P<0.01). Thefatality rate in the CT-DIT group was lower than that in the LpGsTAE group, withsignificant difference between the two groups. Conclusion The treatment therapy of hepatocarcinoma with LpGsTAE has itslimitation circumscription. CT-DIT can cover the deficit of either LpGsTAE or PEI alone.So it is an effective and safe method for treating hepatocarcinoma that cannot be excised.

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