原发性肝癌术前经肝动脉化疗栓塞的病理变化研究

被引:3
作者
陈汉
吴孟超
徐冠南
丛文铭
机构
[1] 第二军医大学长海医院肝胆外科研究所
关键词
肝肿瘤; 肝切除术; 栓塞,治疗性;
D O I
暂无
中图分类号
R735 [消化系肿瘤];
学科分类号
100214 ;
摘要
26例可切除性肝癌术前2~3周分三组经肝动脉插管分别灌注 MMC 20mg,MMC 20mg+碘油10ml,MMC 20mg+MTXmc 150mg,切除的标本经病理检查证实主瘤均有不同程度的坏死,其中以 MMC—MTXmc组最为严重,但对包膜和子瘤中的癌细胞,以及门静脉癌栓,三组均未见有杀伤作用。提示肝动脉化疗栓塞术虽为一有效疗法,但绝不能取代手术切除肿瘤。此外,为预防复发,作者还于术中直接穿刺门静脉注射5-FU 500mg,并于术后四周再经肝动脉插管灌注 MMC 20mg。
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页码:90 / 92 +141
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