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小剂量肾上腺素在肝动脉化疗栓塞中的应用
引用本文:谭志军,魏象东,张凤云,李昌生,袁永胜. 小剂量肾上腺素在肝动脉化疗栓塞中的应用[J]. 中国现代普通外科进展, 2009, 12(7): 588-590
作者姓名:谭志军  魏象东  张凤云  李昌生  袁永胜
作者单位:山东省寿光市人民医院,普外科,山东,寿光,262700
摘    要:目的:探讨肾上腺素在经导管肝动脉化疗栓塞术(transcatheter hepatic arterial chemoemboliza-tion,TACE)治疗中晚期肝癌中的应用价值.方法:144例中晚期肝癌患者随机分成2组,治疗组72例,在灌注化疗药物及碘油乳剂前推注小剂量肾上腺素;对照组72例,常规行经导管肝动脉化疗栓塞术,2组所用化疗药物及超液态碘油基本相同.结果:治疗组有效率为61.11%,对照组为36.11%,治疗前后肝肿瘤的变化、术后肝功能变化及对生活质量的影响2组差异有统计学意义(P<0.05).结论:小剂量肾上腺素经导管灌注可显著减少TACE术后肝功能损害.

关 键 词:肝肿瘤  化学栓塞  治疗性  肾上腺素

Effect of the small dose epinephrine in TACE on the liver cancer
TAN Zhi-jun,WEI Xiang-dong,ZHANG Feng-yun,LI Chang-sheng,YUAN Yong-sheng. Effect of the small dose epinephrine in TACE on the liver cancer[J]. Chinese Journal of Current Advances in General Surgery, 2009, 12(7): 588-590
Authors:TAN Zhi-jun  WEI Xiang-dong  ZHANG Feng-yun  LI Chang-sheng  YUAN Yong-sheng
Affiliation:Shouguang 262700;China
Abstract:Objective:To investigate the application value of adnephrin in TACE on the apud -advanced liver cancer. Methods:144 patients with apud -advanced liver cancer were randomly divided into two groups,In treatment group of 72 cases,patients were injected small dose of epinephrine prior to the chemotherapy drugs and lipiodol emulsion ; In control group of 72 cases,patients were treated with conventional chemotherapy and embolism,which the chemotherapy drugs and lipiodol ultra liquid were the same basically. Resul...
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