经皮穿刺肿瘤坏死物抽吸引流和肝动脉化疗栓塞治疗肝肿瘤（附4例报告）

目的 探讨经皮穿刺肿瘤坏死物抽吸引流和肝TACE术相结合治疗伴有明显液化坏死肝肿瘤的治疗效果。材料与方法 4例明显液化坏死的肝肿瘤患者，2例原发性巨块型肝癌，2例消化道间质细胞来源肝转移瘤。患者先行坏死物抽吸引流，同时或随后行肝TACE术。3例行坏死物持续引流，1例反复多次抽吸。在引流或抽吸同时向瘤腔内注入无水酒精。结果 3例持续引流者肿瘤缩小明显，抽吸者肿瘤略缩小。4例均未出现严重并发症。结论 经皮穿刺肝肿瘤坏死物抽吸引流和肝TACE术是治疗伴有明显液化坏死肝肿瘤的安全、有效方法。

Percutaneous Tumor Necrosis Drainage and Transcatheter Arterial Chemoembolization for the Treatment of Hepatic Tumor (A Report of 4 Cases)

Objective To discuss the therapeutic effectiveness of percutaneous tumor necrosis drainage (PTND) and transcatheter arterial chemoembolization (TACE) for the treatment of hepatic tumor with obvious liquefaction necrosis.Materials and Methods Four patients with hepatic tumor with obvious liquefaction necrosis were treated by PTND and PACE, two of which were primary liver cancer of huge mass type and the other two were hepatic metastases from mesenchymal tumor of digestive tract. All patients received PTND first, and TACE was performed at the same procedure or not long after PTND. Continuous drainage was used in 3 patients, while repeated aspiration in one. Absolute ethanol was injected into the tumor during the procedure of drainage or aspiration.Results Obvious reduction in tumor size occurred in 3 patients receiving continuous drainage, while slight reduction was seen in the patient treated by repeated aspiration. No serious complication occurred in all 4 patients.Conclusion PTNE and TACE are safe and effective treatment for hepatic tumor with obvious liquefaction necrosis.