微导管在肝癌介入治疗中的应用

目的探讨微导管在肝癌化疗栓塞中的应用价值。方法应用微导管对35例肝癌患者行供血动脉超选择化疗栓塞术。结果本组35例共行化疗性栓塞68次,术后血清AFP下降大于50%者29例（82.9%）,肿瘤缩小大于50%者9例（25.7%）：肿瘤缩小在25～50%者19例（54.3%）,其余患者肿瘤体积无明显变化。术后肝功能损害轻微,无严重并发症。结论微导管超选择插管治疗肝癌操作简单方便,超选择成功率高,疗效好,术后并发症少。

Application of Microcatheter in Interventional Therapy of Hepatic Cell Carcinoma

Objective To explore the value of microcatheter in chemoembolization for treating hepatic cell carcinoma.Methods：Chemoembolization of feeding arteries of HCC was performed with microcatheter in 35 patiens.Results：Total of 68 chemoembolization procedures were performed in all patients.Following transcatheter arterial chemoembolization（TACE）,reduction of serum AFP over 50% was found in 29 patiens（82.9%）,while tumor volume reduction over 50% was found in 9 patiens（25.7%）,less than 50% but more than 25% in 19（54.3%）.The damage to liver function was slight and no serious complications occurred.Conclusion：With microcatheter,the manipulation of TACE is simpler and easier,with a higher rate of success,efficacy and less complications.Microcatheter has great value in TACE therapy for HCC.