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117例原发性肝癌病人接受碘油肝动脉栓塞治疗,其中15例经2次以上的重复治疗。半年生存期81.2%;1年生存期占52.9%,2年生存期17.9%。经2次以上重复栓塞的病例疗效比只经一次栓塞的要好,两者存在显著性差异(P<0.01)。作者认为疗效直接与肿瘤的栓塞完全与否有关。肿瘤栓塞不完全,侧支循环形成和开放,门脉供血量和范围增加。这是肿瘤复发的重要原因。
117 cases of primary liver cancer patients received lipiodol hepatic artery embolization treatment, of which 15 cases were repeated twice or more. The six-year survival period is 81.2%; the one-year survival period accounts for 52.9% and the two-year survival period is 17.9%. The efficacy of repeated embolization after 2 or more times was better than that of embolization only, and there was a significant difference between them (P<0.01). The authors believe that the efficacy is directly related to whether the tumor embolism is completely or not. Incomplete tumor embolization, collateral circulation formation and opening, portal volume and range of blood supply increased. This is an important reason for tumor recurrence.