| 肝动脉支永久性铸型栓塞治疗原发性肝癌 |
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| 引用本文： | 李国威,刘效恭,赵仲蓉,高寰,雷小莹,王英,刘清峰,张秉亨. 肝动脉支永久性铸型栓塞治疗原发性肝癌[J]. 西安交通大学学报(医学版), 1988, 0(3) |
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| 作者姓名： | 李国威 刘效恭 赵仲蓉 高寰 雷小莹 王英 刘清峰 张秉亨 |
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| 作者单位： | 西安医科大学第二附属医院外科学教研室(李国威，刘效恭，高寰，王英，刘清峰)，西安医科大学第二附属医院放射科学教研室(赵仲蓉)，西安医科大学第二附属医院B超研究室(雷小莹)，西安医科大学第二附属医院B超研究室(张秉亨) |
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| 摘 要： | 1985年3月起用氰基丙烯酸酯,经腹行肝动脉支铸型栓塞治疗原发性肝癌28例(Ⅰ甲期10例、Ⅱ乙期12例、Ⅲ期6例)。AFP降至正常6例,8例肿瘤难以显示。1例生存已逾32个月、健在。1年存活率52.9%(9/17),2年存活率20%(2/10)。为进一步延长生存期或达治愈目的:1.栓塞后早期肝切除,2.门静脉支内瘤栓的诊断和消灭,需采用综合治疗措施。肝癌合并肝硬化门脉高压症,可联合脾动脉结扎、胃冠状静脉栓塞术,治疗3例平均生存期已愈16个月。
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| 关 键 词： | 肝动脉 栓塞 原发性肝癌 氰基丙烯酸酯 |
PERMANENT CAST EMBOLIZATION OF HEPATIC ARTERIA IN TREATING HEPATOCARCINOMA |
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| Li Guowei,et al. PERMANENT CAST EMBOLIZATION OF HEPATIC ARTERIA IN TREATING HEPATOCARCINOMA[J]. Journal of Xi‘an Jiaotong University:Medical Sciences, 1988, 0(3) |
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| Authors: | Li Guowei et al |
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| Abstract: | The permanent cast embolization of the hepatic arteria with cyanoacrylate was per formed in 28 cases with inoperable hepatocarcinoma (10 cases of ⅡA stage, 12 cases of ⅡB stage, 6 cases of Ⅲ stage) since March 1985. The serum AFP level fell and 5 returned to normal. The tumout was undetected either by CT or US in 8 cases.The maximun surviving time was above 32 months with one-year survival rate averaged 52.99%(9/17) and two-year survival rate of 20% (2/10). For better results we suggest: 1. early hepatecotomy after embolism. 2. synthetic therapy for cancer emboli in the 1-3 grade portal branch. Embolization in hepatic artery co bimned with gastric coronary vein have been performed in 3 cases with portal vena hypertension and varices The average surviving time is above 15 months. |
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| Keywords: | hepatic arteria embolization primary hepatocarcinoma cyanoacrylate |
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