彭永海, 欧阳学农, 张霞, 李天然. MSCT血管重建与巨块型肝癌双重化疗栓塞治疗的临床探讨[J]. 中国肿瘤临床, 2006, 33(3): 151-153.
引用本文: 彭永海, 欧阳学农, 张霞, 李天然. MSCT血管重建与巨块型肝癌双重化疗栓塞治疗的临床探讨[J]. 中国肿瘤临床, 2006, 33(3): 151-153.
Peng Yong-hai, Ouyang Xue-nong, Zhang Xia, Li Tian-ran. Preliminary Study on Multi-Slices CT Angiography and the Effect of Portal Vein and Arterial Dual-Chemoembolization on Large Primary Liver Cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2006, 33(3): 151-153.
Citation: Peng Yong-hai, Ouyang Xue-nong, Zhang Xia, Li Tian-ran. Preliminary Study on Multi-Slices CT Angiography and the Effect of Portal Vein and Arterial Dual-Chemoembolization on Large Primary Liver Cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2006, 33(3): 151-153.

MSCT血管重建与巨块型肝癌双重化疗栓塞治疗的临床探讨

Preliminary Study on Multi-Slices CT Angiography and the Effect of Portal Vein and Arterial Dual-Chemoembolization on Large Primary Liver Cancer

  • 摘要: 目的:探讨肝癌的血供特点并进一步观察肝癌肝动脉、门静脉双重化疗栓塞治疗的不良反应。方法:选择22例巨块型原发性肝癌患者,随机分为两组,观察和比较两组治疗前后瘤体体积、白细胞和肝功能、生活质量变化。结果:MSCT(Multi-Slices CT)肝癌肝动脉、门静脉血管重建成功率均为100%,可清楚显示Ⅳ~Ⅴ级肝动脉血管,结合肝动脉DSA造影,发现肝动脉供应肿瘤组织中心部分,门静脉包绕肿瘤,供应周边组织;两组有效率、治疗前后白细胞和肝功能变化、生活质量无显著差异(P>0.05)。结论:MSCT可用于肝癌血管重建;肝动脉、门静脉双重化疗栓塞治疗肝癌,未见明显不良反应。

     

    Abstract: Objective: To study the blood supply of primary liver cancer and evaluate the side effect of Portal Vein and Arterial Dual-Chemoembolization on it. Methods: Twenty-two subjects suffered large hepatocellular cancer were divided into two groups at random. The level of blood-routine, hepatic function, tumor size and of life quality were observed before and after the treatment. Results: The hepatic artery and portal vein were 100% successively reconstructed, Ⅳ-Ⅴgrade hepatic artery can be seen clearly. Combined with image from DSA, we find that hepatic artery surpply the center of the tumor,portal vein circumfuse the tumour; No significant differences were found in tumor sizes?the levels of WBC, TBil, ALT, life quality between the two groups (P0.05). Conclusion: MSCT can be used to restrict the hepatic artery and portal vein for primary liver cancers and no significant side-effect has been found from the people who accepted portal vein and arterial dual-chemoembolization therapy.

     

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