无水酒精-碘化油栓塞治疗原发性肝癌  

Transcatheter Arterial Embolization of Hepatocellular Carcinomawith a Mixture of Ethanol and Lipiodol

作　　者：巩悦勤[1] 张金山[1] 王艳平[1] 

机构地区：[1]解放军总医院放射诊断科,北京100853

出　　处：《中国医学影像学杂志》2000年第4期279-281,共3页Chinese Journal of Medical Imaging

摘　　要：目的 :评价无水酒精 碘化油经导管动脉栓塞 (TAE)对原发性肝癌 (HCC)的疗效。材料与方法 :17例患者进行了 2 0次TAE治疗。无水酒精与碘化油体积比为 1∶1～ 1∶3 ,充分超选择栓塞 ,观察治疗前后AFP、CT、DSA的变化。结果 :2 0例次均成功地进行了肝脏亚段、亚 亚段栓塞 ,栓塞后DSA表现为肿瘤血管闭塞、肿瘤染色消失 ,肿瘤血管再通及侧枝循环形成均明显减少 ;CT显示肿瘤明显缩小、肿瘤内碘化油聚集明显且排空延迟。无明显副作用发生。结论 :无水酒精 碘化油TAE治疗HCC具有操作简便、副作用小、肿瘤血管再通及侧枝循环形成少的特点 ,可明显增强栓塞效果 ,同时减少TAE次数。Purpose: To evaluate the effectiveness of transcatheter arterial embolization (TAE) of hepatocellular carcinoma (HCC) with a mixture of ethanol and lipiodol. Materials and Methods: 17 patients with HCC were treated for 20 times with a mixture of ethanol and lipiodol. The ratio of ethanol to lipiodol was 1∶1～1∶3, the total amount of the embolic material used varied from 2～30ml, The results of follow up by AFP, CT and DSA were analyzed. Results: 20 times subsegmental or sub subsegmental TAE were achieved successfully. All of these patients appeared with decrease in tumor size, collection and delayed drainage of lipiodol in the tumors, vessels obliteration and decrease, delay forming of accessory vessels of tumors. Conclusion: TAE of HCC with a mixture of ethanol and lipiodol is an effective, simple method and also convenient for follow up. It can enhance the effect and reduce the times of TAE.

关 键 词：原发性肝癌 无水酒精 碘化油 栓塞性治疗 

分 类 号：R816.5[医药卫生—放射医学] R735.705[医药卫生—临床医学]