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目的 回顾总结原发性肝癌介入性诊断和治疗中的几个重要问题 ,以期取得更好的诊断和治疗效果。方法 根据自己的临床经验和观察结果 ,并复习了国内近十几年来有关肝癌的诊断和治疗方面的文献 ,从 1986年以来的 10 47例肝癌治疗进行总结。对肝癌的影像学诊断、诊断标准、适应证和禁忌证、介入放射治疗的方法和所用治疗材料、介入放射治疗的并发症、疗效的评价 ,以及介入治疗的前景进行了论述。并对介入放射学治疗的病例进行放射形态学的观察。结果 介入治疗后的患者临床症状明显改善 ,术后平均存活期与介入治疗的方法有直接关系 ,并受综合因素的影响。而介入性诊断对于 CT、MRI有疑问或漏诊的病例可以明确诊断 ,对外科手术的预后有很大的帮助。外科手术后复发的病例采用介入疗法也有很好的疗效。结论 介入法已成为治疗肝癌的非外科主要治疗方法 ,目前的主要任务之一是采取多种措施提高其远期疗效。
Objective To review and summarize several important issues in the interventional diagnosis and treatment of primary liver cancer in order to achieve better diagnosis and treatment. Methods According to their own clinical experience and observations, they reviewed the literature on the diagnosis and treatment of liver cancer in the past more than 10 years, and summarized the treatment of 10 47 cases of liver cancer since 1986. The imaging diagnostics, diagnostic criteria, indications and contraindications for liver cancer, methods of interventional radiotherapy and therapeutic materials used, complications of interventional radiotherapy, evaluation of efficacy, and the prospects of interventional treatment are discussed. Radiation morphological observations were performed on interventional radiotherapy. Results The clinical symptoms of patients after interventional treatment were significantly improved. The average survival time after surgery was directly related to the interventional treatment method and was influenced by comprehensive factors. The interventional diagnosis of CT, MRI problems or missed cases can be a clear diagnosis, the prognosis of surgery is a great help. Cases of recurrence after surgery are also very effective with interventional therapy. Conclusion Interventional therapy has become the main non-surgical treatment of liver cancer. One of the main tasks is to take a variety of measures to improve its long-term efficacy.