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目的通过对比,总结在CT引导下经皮穿刺注入无水酒精治疗原发性肝癌的疗效。方法两组原发性肝癌病人共58例,均根据原发性肝癌诊断标准,均进行CT平扫和增强扫描,采用seldinger法经肝动脉化疗栓塞术29例,采用经肝动脉化疗栓塞术和CT引导下经皮穿刺注入无水酒精29例。结论单纯采用经肝动脉化疗栓塞术29例病人无论在肿瘤缩小率、累计生存率都明显低于采用肝动脉化疗栓塞术结合CT引导经皮穿刺注入无水酒精组,甲胎球蛋白下降也不如后者。
Objective To compare and summarize the curative effect of percutaneous puncture and infusion of anhydrous alcohol on the treatment of primary liver cancer under CT guidance. Methods A total of 58 patients with primary liver cancer were enrolled in this study. All of them were based on the diagnostic criteria of primary liver cancer. All patients underwent CT plain scan and enhanced scan. The patients were treated with hepatic arterial chemoembolization by seldinger method in 29 cases. CT guided percutaneous puncture injection of anhydrous alcohol in 29 cases. Conclusions 29 patients treated with transcatheter arterial chemoembolization alone have a significantly lower rate of tumor reduction and cumulative survival than those treated with transcatheter hepatic arterial chemoembolization combined with CT guided percutaneous puncture. the latter.