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本中心自1994年7月～1995年7月采用Seldinger’s技术行肝动脉介入化疗栓塞术(TAE)治疗中晚期肝癌30例96人次,近期疗效满意.其中2例获Ⅱ期手术切除,现报道如下。1材料与方法1.1 一般资料:本组30例均经B超、CT、肝动脉造影检查确诊为不能切除中晚期肝癌。男性22例,女性8例;年龄30～70岁,中位年龄43岁。类型:原发性肝癌22例,乳腺癌术后肝转移2例.直肠癌术后肝转移2例,结肠癌术后肝转移2例.盆腔平滑肌肉瘤术后肝转移1例,胃癌术后肝转移1例。经CT扫描显示肿块直径10～18cm,限于一叶间17例,多发性结节型或弥漫型,边界不清分布两叶以上10例。1.2方法:采用Seldinger’s技术,选用Cook公司或Cordis公司6-7F导管,先将导管插入肠系膜上动脉并造影,了解门静脉有否癌栓及是否为肝癌供血血管;
Since July 1994 to July 1995, the Center has used Seldinger’s technique to perform hepatic artery interventional chemoembolization (TAE) in the treatment of 30 cases of advanced hepatocellular carcinoma (96 cases). The short-term results are satisfactory. Two of them have been treated with stage II resection. The following reports are as follows: . 1 Materials and Methods 1.1 General Information: This group of 30 cases were diagnosed by B-ultrasonography, CT, hepatic arteriography as unresectable advanced liver cancer. There were 22 males and 8 females; the age ranged from 30 to 70 years and the median age was 43 years. Type: 22 cases of primary hepatocellular carcinoma, 2 cases of liver metastasis after breast cancer surgery, 2 cases of liver metastasis after rectal cancer, 2 cases of postoperative liver metastasis of colon cancer, 1 case of liver metastasis after pelvic leiomyosarcoma, and postoperative liver cancer Transfer 1 case. The CT scan showed that the diameter of the mass was 10 to 18 cm, limited to 17 cases in one leaf, multiple nodular or diffuse type, and unclear distribution of more than two leaves in 10 cases. 1.2 Methods: Using Seldinger’s technique, choose Cook company or Cordis 6-7F catheter, first insert the catheter into the superior mesenteric artery and contrast it to see if the portal vein has tumor emboli and whether it is blood supply to the liver;