超声引导无水酒精介入治疗高龄肝癌患者疗效观察  

Clinical observation of elderly patients with liver cancer treated by ultrasound-guided percutaneous absolute ethanol injection

作　　者：王立[1] 苟金平 

机构地区：[1]天水市第一人民医院消化科,甘肃天水741000

出　　处：《甘肃医药》2010年第1期13-15,共3页Gansu Medical Journal

摘　　要：目的:探讨超声引导下经皮下穿刺注射无水酒精治疗高龄肝癌患者的疗效。方法:对27例高龄患者行超声引导下穿刺注射无水酒精治疗,术后复查,对症状、肿瘤大小、声像图、活检、AFP生存率等进行比较。结果:治疗后患者症状明显缓解,肿瘤明显减小、结节晕环消失率91.3%,术后CDFI瘤内血流消失率90%,CT复查97%瘤内未见强化,活检100%肝组织变性坏死,AFP下降85.9%,6月生存率94%,12月生存率88.9%。结论:PEIT治疗高龄肝癌近期疗效满意,临床症状明显改善,治疗后肝组织变性坏死,生存期延长,是一种有效、安全的治疗方法。Objective： To explore the curative effect of ultrasound - guided percutaneous absolute ethanol injection （PEI） on elderly patients with liver cancer. Methods： Twenty - seven elderly patients were injected absolute ethanol by ultrasound - guided whose symptom, size of tumour, color doppler flow imaging （ CDFI）, biopsy and survival rate of AFP were compared after PEI. Results： The symptom of patients after PEI was catabatic obviously, the diameter of tumour was decreased significantly, the 91.3% nodules were disappeared, the disappearanee rate of the blood flow of tumours was 90%, no enhancement in tumors was 97% by CT, degenerative necrosis was found in all liver tissue by liver biopsy, the rate of decline in AFP levels was 85.9%, the six months and twelve months survival rates of patients were 94% and 88.9% respectively. Conclusion： PEI by ultrasound - guided is an effective, satisfactory short - term effect and safe treatment for liver cancer, which can improve clinical symptom, make degenerative necrosis in liver tissue, prolong survival time.

关 键 词：超声引导 穿刺 高龄 肝癌 治疗效果 

分 类 号：R735.7[医药卫生—肿瘤]