| CT引导碘油标记酒精PEIT治疗原发性肝癌——一种改良的PEIT |
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| 引用本文： | 晁明,詹灵,徐风峰,陈坚平,金文伟.CT引导碘油标记酒精PEIT治疗原发性肝癌——一种改良的PEIT[J].影像诊断与介入放射学,1995(3). |
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| 作者姓名： | 晁明 詹灵 徐风峰 陈坚平 金文伟 |
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| 作者单位： | 浙江省杭州市浙江医科大学附属第二医院放射科，浙江省杭州市浙江医科大学附属第二医院放射科，浙江省杭州市浙江医科大学附属第二医院放射科，浙江省杭州市浙江医科大学附属第二医院放射科，杭州市第二人民医院放射科 310009，310009，310009，310009 |
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| 摘 要： | 作者报告一种新的改良经皮穿刺注射酒精术(PELT),即CT引导碘油标记酒精PEIT治疗8例原发性肝癌,其中6例为巨块型肝癌,2例为单发结节型肝癌。结果显示①术后肝动脉造影6例肿瘤血管及肿瘤染色消失,2例肿瘤血管及肿瘤染色明显减少。②4例术前AFP增高者术后均下降,其中3例正常。③4例术后10、11、12和14个月发现肿瘤复发,经结合作碘油化疗性栓塞术后病变得以控制。④本组术后中位生存期20个月,1年及二年生存率分别为100％和63.6％。我们认为PEIT不仅适合于小肝癌,同样可用于巨块型肝癌。这种改良的PEIT具有许多突出的优点。
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| 关 键 词： | 原发性肝癌 断层摄影术 X线 计算机 酒精注射 治疗 |
CT Guide PEIT Marked with Lipiodol for Treatment of Primary Liver Cancer-A New Modified PEIT |
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| Chao Ming,et al..CT Guide PEIT Marked with Lipiodol for Treatment of Primary Liver Cancer-A New Modified PEIT[J].Journal of Diagnostic Imaging & Interventional Radiology,1995(3). |
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| Authors: | Chao Ming |
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| Institution: | Chao Ming,et al. Department of Radiology,The Second Affiliated Hospital of Zhejiang Medical University,Hangzhou,310009 |
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| Abstract: | The effectiveness of a new modified percutaneous ethanol injection therapy (PEIT)-CT guide PEIT markde with lipiodol was investigated in 8 cases with primary liver cancer (6 case's lesions were larger than 5cm in diameter). Results showed that (1) tumor vessels and staining disappeared in 6 cases, distinctly decreasesd in 2 cases on angiography after PEIT; (2) 4 cases who had elevated serum AFP level all had AFP decending and 3 cases had normal results after PEIT; (3) 4 cases had tumor recurrence in 10, 11, 12 and 14 months after first PEIT; all liver recurrence lesions were controlled by combined with transcatheter lipiodol chemo-embolization therapy; (4) the mediam survival time was 20 months and 1-year, 2-year survival rates were 100% and 63.6% respectively after PEIT. |
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| Keywords: | Primary liver cancer Tomography X-ray computed Ethanol injection Therapy |
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