肝动脉灌注化疗和栓塞治疗原发性肝癌

被引:16
作者
郭俊渊 [1 ]
黄志程 [1 ]
刘鹏程 [1 ]
胡道予 [1 ]
机构
[1] 同济医科大学附属同济医院
关键词
原发性肝癌; 肝动脉灌注化疗; 栓塞治疗;
D O I
暂无
中图分类号
R735.7 [肝肿瘤];
学科分类号
100214 ;
摘要
对55例原发性肝癌进行了83次肝动脉灌注化疗和栓塞。26例用氟脲嘧啶加丝裂霉素作灌注,29例作灌注加明胶海绵栓塞综合治疗。治疗后77%病人肿瘤缩小,肿瘤血管减少、细小。70%病人甲胎蛋白恢复正常或明显降低。综合评价显效和有效者78%,半年生存率76%,1年生存率45.4% 两种方法相比,灌注加栓塞综合治疗优于单纯灌注法。对本法的价值、灌注药物和栓塞方式的选择、影响疗效的因素和禁忌证等进行了探讨。
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