【摘要】 目的 探讨肝癌超选择介入治疗的效果和影响因素。方法 行介入法治疗的269例肝癌患者，对其中156例用超选择肝动脉栓塞化疗患者进行临床分析，分析肝癌肝动脉造影征象、碘油沉积情况与生存的关系。结果 156例肝癌患者肝动脉造影显示，121例肝肿瘤血管丰富，肿瘤染色明显，其中结节型49例，巨块型72例，弥漫型35例，临床追踪观察1年、2年、3年生存率分别为86.5%、67.3%、52.6%。结论 肝癌的肝动脉超选择造影分析，肿瘤血管和肿瘤染色是重要的诊断依据；肝癌的超选择介入治疗临床疗效显著，应作为一项重要的非手术治疗手段。

    【关键词】 肝肿瘤；超选择栓塞；治疗性

    Clinical analysis of superselective endovascular chemoembolization in hepatoma

    HE Ze-qing,XUE Yu-fu，ZHANG Long,et al.

    Department of Interventional Radiology,Three Gorges Central Hospital,Wanzhou District,Chongqing 404000,China

    【Abstract】 Objective To explore the effect and influential factor of superselective endovascular chemoembolization in hepatoma.Methods 156 cases of superselective endovascular chemoembolization in hepatoma were clinically analyzed with regard to features of hepatic arteriography and observed the relation-ship of lipiodol deposition and existence.Results In 156 cases,tumor vessel was abundant and the color was blacken.49 cases were nodular type ......