肝动脉栓塞化疗治疗巨块型肝癌

 目的　探讨肝动脉栓塞化疗对巨块型肝癌的治疗作用。方法　回顾性分析 46例不可切除的巨块型肝癌栓塞化疗的治疗效果。肿瘤直径 1 2～ 1 9cm,平均 1 3.73± 1 .2 7cm。 35例经皮股动脉穿刺插管肝动脉栓塞化疗 ,1 1例不成功者行开腹插管肝动脉栓塞化疗。每例栓塞化疗 1～ 6次(平均 2 .4次 )。结果　 1 8例获二期切除 ;1年、2年、3年及 5年生存率分别为 73.9%、44.4%、42 .9%及 2 3.5%。结论　肝动脉栓塞化疗是不能切除的巨块型肝癌的有效治疗方法。

Hepatic Arterial Chemoembolization for Huge Liver Cancer

Objective To evaluate the efficiency of hepatic arterialchemoembolization (HACE) for huge liver cancer.Methods Forty-six cases with huge liver cancer performed with hepatic arterial chemoembolization were reviewed.The diameters of the tumors were from 12cm to 19cm with a average diameter of 13.73±1.27cm.Thirty-five cases were treated with HACE through trans-femoral-artery-catheter.Other eleven cases treated with HACE through laparotomy.Every case was accepted one to six (2.4 in average) treatments of HACE.Results Eighteen cases were accepted hepatectomy after HACE.The one-、two-、three-and five-year's survival rate were 73.9%、44.4%、42.9% and 23.5% respective.Conclusion HACE was a effective treatment for patients with huge liver cancer.