少血供转移性肝肿瘤滋养动脉超选择性化疗栓塞的疗效观察  

Clinical Efficacy in Treatment of Hepatic Metastatic Tumor with Poorly Blood Supply through Superselective Chemoembolization

作　　者：罗小平[1] 淦伟[1] 

机构地区：[1]重庆医科大学第二医院介入中心,重庆400010

出　　处：《实用放射学杂志》2007年第10期1382-1385,共4页Journal of Practical Radiology

摘　　要：目的评价少血供肝转移性肿瘤超选择性滋养动脉插管并完全性栓塞治疗的临床疗效。方法在DSA的引导下,对75例少血供肝转移性肿瘤病灶滋养动脉超选择性插管并完全性化疗栓塞。结果75例共202个被栓塞病灶在术后2～3月CT复查,189个病灶被碘油完全性充填、11个病灶大部被碘油充填、2个病灶碘油充填欠佳。159个病灶明显缩小、41个病灶部分缩小、2个病灶缩小不明显。术后6、12、24、36月及3～5年生存率分别为100%(75/75)、85.3%(64/75)、55%(41/75)、42.7%(32/75)、20%(15/75)。结论高度选择性滋养动脉插管并完全性化疗栓塞是一种对转移性肝肿瘤治疗的有效方法。Objective To evaluate the curative effect in treatment of hepatic metastases tumor with poorly blood supply through superselective transcatheter nutrient arterial full chemoembolizatlon. Methods 75 cases of hepatic metastases tumors with poorly blood supply were treated by full chemoembolization through superselective transcatheter nutrient arterial infusion under DSA guided. Results After treatment 2 -3 months,CT scans showed that totally 202 tumors in 75 cases, the tumors were fully filled with lipiodol in 189, large part in 11 and not well in 2. 159 tumors were obviously shrunk,41 tumors were shrunk part,2 tumors were not obviously shrunk. The survival rate in 6 months, 12 months,24 months,36 months and 3 - 5 years was 100% （75/75） ,85.3% （64/75） ,55% （41/75） ,42.7% （32/75） and 20% （15/75） respectively. Conclusion The transcatheter superselective nutrient arterial full filling chemoembolization for hepatic metastases tumor with poorly blood supply is a effective therapy.

关 键 词：肝脏 转移性肿瘤 介入放射学 化疗栓塞 

分 类 号：R735.7[医药卫生—肿瘤] R815[医药卫生—临床医学]