摘要
目的评价经皮肝冰醋酸注射(PAI)治疗原发性肝癌(肝癌)肝动脉化疗栓塞(TACE)后残留活灶临床效果。方法 32例肝癌首先行肝脏TACE术2～3次,然后对残留活灶在CT引导下行肝脏PAI术,用增强CT评价肿瘤的坏死情况。结果 18例残留活灶≤3cm者,15例完全坏死,3例大部分坏死;14例残留活灶>3cm者,4例完全坏死,10例大部分坏死。术后未发生严重并发症。结论肝癌TACE术后残留活灶行PAI术可以作为TACE术后的补充治疗,能较好地提高肝癌的治疗效果。
Objective To evaluate the outcomes of CT-guided percutaneous acetic acid injection（PAI） for treating the residual tumor of hepatocellular carcinoma（HCC） after hepatic arterial chemoembolization（TACE）.Methods TACE was performed for 2 to 3 times in 32 cases with HCC.The residual tumor of HCC was treated with CT-guided PAI and the outcomes were evaluated with enhanced CT examination.Results Of 18 cases with residual tumors≤3 cm,a complete necrosis of the tumors was seen in 15 cases and necrosis in the majority of the residual tumors was seen in 3 cases after CT-guided PAI,which were 4 cases and 10 cases,respectively,in 14 cases with residual tumors3 cm.No serious postoperative complications occurred.Conclusion To improve therapeutic efficacy,CT-guided PAI technique can be taken as a supplementary treatment in HCC patients after TACE.
出处
《江苏医药》
CAS
CSCD
北大核心
2010年第19期2259-2260,共2页
Jiangsu Medical Journal
关键词
冰醋酸
原发性肝癌
电子计算机断层扫描
肝动脉化疗栓塞
Acetic acid
Hepatocellular carcinoma
Computed tomography
Hepatic arterial chemoembolization
