摘要
作者从1988年1月～1989年12月开展慢性肝动脉栓塞治疗不能作手术切除的原发性肝癌27例,与同期在本院施行开腹肝动脉栓塞治疗的46例作对照进行临床研究。慢性栓塞组手术死亡为1/27例,对照组为5/46例,半年存活率较对照组高(P<0.05),长期存活率与对照组比较无显著性差异。该方法与多次(或再次)肝动脉栓塞不同,多次肝动脉栓塞是在常规肝动脉栓塞后当肝肿瘤又趋增大或为提高栓塞治疗效果而又进行再次肝动栓塞治疗,而慢性肝动脉栓塞只是将本该1次栓塞的药量分多次作慢性栓塞治疗。该方法可在一般县医院开展应用,特别适宜肝肿瘤巨大,肝功能较差的病例。
From January. 1988 to December 1989, a study of chronic intermittent embolization of the hepatic artery (CIEHA) has been carried out in 27 cases of primary liver carcinoma. In the meantime 46 cases of primary liver carcinoma underwent operative hepatic arterial embolization (OHAE) and was selected as the control group. The mortality in the CIEHA group was 1/27 cases, while in the OHAE group it was 5/4G cases. IThe 1/2 year survival rate was higher in the CIEHA group than in the OHAE group (P<0.05). Long term survival rate did not differ significantly in the two groups. CIEHA differes from repeated trans hepatic arterial embolization (THAE) in that in the former procedure one dosage of chemo-embolizing agents is applied intermittently to the patient, while in the latter procedure repeated dosages of chemoembolization are administered at various intervals. The method is especially suitable for patients with huge sized liver cancer or with poor liver function.
出处
《中山大学学报（医学科学版）》
CAS
CSCD
1993年第1期70-72,共3页
Journal of Sun Yat-Sen University:Medical Sciences
