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目的 :探讨超声引导下经皮门静脉穿刺栓塞化疗的价值。方法 :对 10例原发性肝癌合并门静脉癌栓及 10例原发性肝癌未合并门静脉癌栓患者 ,在 HIFU及全身化疗的基础上进行治疗性门静脉栓塞化疗。结果 :治疗后门静脉癌栓缩小 2例 ;无改变 8例 ;1例发现因背肝血流致脾静脉内显示碘油 ;10例肝癌未合并癌栓患者肝内无新发病灶及远处转移灶发生。结论 :超声引导下经皮门静脉穿刺栓塞化疗是一种简便、安全、有效的方法
Objective: To investigate the value of ultrasound-guided percutaneous portal vein puncture and chemoembolization. Methods: 10 cases of primary hepatocellular carcinoma with portal vein tumor thrombus and 10 cases of primary liver cancer without portal vein tumor thrombus were treated with HEPU and systemic chemotherapy based on the therapeutic portal vein chemoembolization. Results: After the treatment, portal vein tumor thrombus was reduced in 2 cases and no change in 8 cases. In 1 case, lipiodol was found in the splenic vein due to dorsal circulation blood flow. In 10 cases of liver cancer without tumor thrombus, there was no new lesion and distant metastasis Foci happen. Conclusion: Ultrasound-guided percutaneous portal vein puncture embolization chemotherapy is a simple, safe and effective method