术中术后肝动脉栓塞治疗晚期肝癌的技术经验

作者采用手术肝动脉插管栓塞治疗晚期肝癌患者19例,其中12例术后经留置的导管作了重复栓塞。术后的平均生存时间为8.7月。其中6例生存1年以上,文中介绍了手术插管和术中术后栓塞的技术方法和经验,认为高选择性插管和给药是提高疗效的关键。文中对肝动脉栓塞治疗晚期肝癌的有关问题,如栓塞治疗指征和栓塞剂选择等问题进行了讨论。

Hepatocellular Carcinoma Treated with Hepatic Arterial Embolization During and After Operation

Nineteen patients with advanced hepatocellular carcinoma were treated with operative hepatic arterial catheterization and embolization.Some of them undervent repeated embolizations through the maintained cannula after operation. The average survival was about 8.7months. In this group, six of them were alive more than 12 months. This paper introduced the technique and experience of operative cannulation and embolization, including the method of postoperative repeated embolizations. Some problems concerning the embolization, such as the indication of embolization for liver cancer, and the embolie materials were also discussed.