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目的 总结 5 8例超声引导下经皮无水酒精注射对肝细胞癌的疗效及在基层医院的可行性。方法 超声引导下经皮无水酒精注射治疗 ,观察瘤体大小及 AFP的变化。结果 5 8例中 4 6例 AFP下降 ,其中 30例降至正常 ,转阴率为 5 1.7% ,总有效率为 79.3%。主要并发症为一过性腹痛 ,上腹部烧灼样不适 ,恶心 ,发烧。结论 超声引导下经皮无水酒精注射治疗肝细胞癌具有灵活安全经济的优点 ,尤其适于家庭经济条件差的患者 ,同时还发现对于直径 <5 cm的肝细胞癌效果较好。
Objective To summarize the curative effect of ultrasound-guided percutaneous ethanol injection on hepatocellular carcinoma in 58 patients and its feasibility in primary hospital. Methods Ultrasound guided percutaneous ethanol injection treatment, observe the size of tumor and AFP changes. Results AFP decreased in 46 of 58 cases, of which 30 cases dropped to normal, the negative conversion rate was 57.7% and the total effective rate was 79.3%. The main complication of transient abdominal pain, burning the upper abdomen discomfort, nausea, fever. Conclusion Ultrasound-guided percutaneous ethanol injection has the advantage of flexibility, safety and economy. It is especially suitable for patients with poor family economic conditions and is also found to be effective for hepatocellular carcinoma with a diameter of less than 5 cm.