彩色多普勒超声引导下经皮穿刺肝肿瘤滋养动脉化疗方法的研究

目的探讨彩超引导下经皮肝肿瘤滋养动脉穿刺栓塞化疗方法的临床可行性。方法在术中超声实时引导对20例多种原因不能行TACE或TACE疗效不佳患者行经皮肝肿瘤滋养动脉栓塞化疗。结果20例患者,共穿刺24次,全部手术均获成功.术后CT显示肿瘤碘油沉积良好16例(80%),肿瘤内部份碘油沉积1例(5%),肿瘤及周边沉积3例(15%)。术后未见明显并发症。结论彩色超声引导经皮穿刺肝肿瘤滋养动脉栓塞化疗完全可行,且具有安全、损伤小、简便等特点,为不能进行TACE的患者提供了一种新的治疗方法。

Percutaneous liver tumor''s feeding artery puncture and embolic chemotherapy guided by color Doppler ultrasonography

Objective To discuss the feasibility and clinical value of percutaneous liver tumor's feeding artery and embolic chemotherapy guided by ultrasonography. Methods Twenty patients with liver tumor which can not be treated by common methods like transcatheter arterial chemoembolization (TACE) or TACE can not take good effect, were treated by percutaneous TACE under the guidance of ultrasonography. Results Twenty-four times punctures were performed in 20 cases, needles were punctured into the feeding artery successfully in each case. On CT images, the target tumor was enhanced in 16 cases (80%), part of target tumor was enhanced in 1 case (5%), the tumor and its surrounding area was enhanced in 3 cases (15%). There were not severe complications after therapy. Conclusion This method above is safe, simple, and feasible to treat some patients with liver tumor who can not be treated with TACE.