超声介入无水酒精瘤内注射治疗肝癌48例

The Involvement Treatment of Liver Cancer with Dehydrated Alochol Lump Injects under the Supersonic Guidance (48 Cases)

摘要: 目的回顾性总结无水酒精瘤内注射治疗肝癌的疗效。方法对48例肝癌患者共70个结节在超声引导下细针穿刺经皮瘤内注射无水酒精,使瘤体药物浓度极高,致肿瘤细胞及其血管内皮细胞迅速脱水,蛋白凝固,癌细胞变性坏死。肿瘤直径0.9~3.9cm,每个病灶每次注射酒精2~6ml,或每次1~3ml。每周2次共4~6次为1疗程。结果治疗后9个瘤灶消失,36个缩小,25个未增大。直径缩小或不变的肿瘤,影像学上呈囊性化趋向,CT增强扫描动脉期无强化,原血清甲胎蛋白(AFP)值升高者显著下降,经组织学检查的瘤灶证实完全坏死。注射过的瘤灶无局部复发,肝内远膈部位复发14例。治疗副作用仅见短暂的局部烧灼痛、低热、一过性转氨酶轻度升高。结论本疗法最显著的优点是安全性高,是目前治疗肝癌确实有效、安全、微创的方法。

Abstract: Objective In the goal review summary dehydrated alcohol lump injects treats liver cancer the curative effect. Methods The pintle puncture injects the dehydrated alcohol to 48 examples liver cancers patient altogether 70 tubercles under the supersonic guidance after Pi Liunei,causes the lump body medicine density to be extremely high,sends the tumor cell and its the blood vessel endothelial cell rapid dehydration,the protein coagulates,cancer cell denatured necrosis. Tumor diameter 0.9 ~ 3.9cm, each focus of ...