微导管超选择插管治疗多发肝癌34例  

The application of microcatheter superselective catheterization in interventional chemoembolization for multiple hepatocarcinomas:an initial experience in 34 cases

作　　者：徐小炉[1] 陈勇强[1] 王青[1] 

机构地区：[1]淮北矿工总医院影像科,安徽省235000

出　　处：《介入放射学杂志》2012年第3期252-255,共4页Journal of Interventional Radiology

摘　　要：目的探讨微导管超选择插管在多发肝癌(2个或2个以上肿瘤病灶)介入治疗中的应用价值、方法回顾性分析收治的多发性肝癌患者68例,其中微导管超选择插管化疗栓塞治疗组34例(微导管插管组),4～5 F常规导管超选择插管化疗栓塞组34例(常规插管组),比较两组肝功能损伤情况,并比较两组6个月、1年和2年的生存率。结果微导管插管组血清丙氨酸转氨酶及总胆红素等肝功能指标明显好于常规插管组(P<0.05),生存期明显延长(P<0.01)。结论微导管超选择插管治疗多发肝癌操作简单方便,超选择成功率高,疗效好,术后并发症少。Objective To assess the clinical value of superselective catheterization by using mierocatheter in interventional chemoembolization for multiple hepatoearcinomas. Methods A total of 68 patients with multiple hepatocarcinomas were enrolled in this study. The clinical data were retrospectively analyzed. Superselective catheterization by using a microcatheter was carried out in 34 cases （study group） and superseleetive catheterization by using a 4 - 5 F common catheter was performed in 34 cases （control group）. The hepatic dysfunctions and the survival rate at 0.5, 1, 2 years were compared between the two groups. Results The liver function of the patients in study group was much better than that of the patients in control group （P 〈 0.05）, and the survival time of the patients in study group was much longer than that of the patients in control group （P 〈 0.05）. Conclusion For the treatment of multiple hepatocarcinomas, interventional chemoembolization by using microcatheter superselective catheterization technique is technically simple and clinically effective with high success rate and fewer complications.

关 键 词：多发肝癌 栓塞 微导管 超选择插管 

分 类 号：R735.7[医药卫生—肿瘤]