超声介入注射无水乙醇加碘化油治疗肝肿瘤

目的 提高超声介入对肝肿瘤整体灭活效果。方法 对81例125个瘤体经超声引导下注射无水乙醇加碘化油(4:1),4～6次后复查CT和彩超．对瘤体内碘化油缺如或彩超可检测到动静脉血流区域内,再次注射至整个瘤体碘化油完全充填,CDFI检测不到动静脉血流信号。结果 125个肿瘤瘤体内注射无水乙醇加碘化油治疗,经CT检查,整个瘤体充填良好率为122／125(97.6％)。结论 无水乙醇加碘化油瘤体内注射,经CT检查能准确反映瘤体内注射后的状况,此方法优于传统的经皮瘤体内无水乙醇注射治疗,也是血管法介入与间质法介入的相互结合,为单个肿瘤的整体灭活提供了可靠的治疗方法。

Analysis of the effect of ultrasound-guided percutaneous ethanol iodized oil injection therapy(PEIIT) for hepatocellular carcinoma

Objective To improve the effect of ultrasound-guided interventions for hepatocellular carcinoma. Methods Eighty-one consecutive patients with 125 HCC lesions receiving percutaneous ethanol plus iodized oil (4:1) injection therapy for 4-6 times were enrolled. We continued to inject the ethanol and iodized oil till the lesions are filled in if computed tomography (CT) signals in the tumor were found lack of iodized oil or color Doppler arteriovenous signals were not found. Results The fill ratio of 125 HCC lesions receiving percutaneous ethanol plus iodized oil (4:1) injection therapy is very we11(97.6%, 122/125). Conclusions The examination of CT can reflect the condition after the PEIIT accurately. This method which is the combination of interstitial substance intervention and vessel intervention is better than PEIT. It is a dependable method for the single lesion.