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最近研究结果证实,伴有肝硬化的肝细胞癌(HCC)在超声波引导下经皮酒精注射是可行的治疗方法。在阻滞腹腔神经节及治疗继发性甲状旁腺机能亢进亦可采用酒精注射。本文报道经皮注射酒精治疗小型肝肿瘤15例的长期随访结果。肿瘤直径均在4.7cm 以下(1.5～4.7,平均2.7cm),其中男性11例,女性4例,年龄为45～77(平均59.5)岁。14例有重症肝硬化,1例有慢性肝病合并喉癌。HCC 病人均行超声波指导下细针穿刺活检经组织学证实。酒精注射方法为在超声波指导下以消毒酒精1～4ml 注入肿瘤中心。
Recent studies have demonstrated that percutaneous ethanol injection of hepatocellular carcinoma (HCC) with cirrhosis is a feasible treatment. In the block of the celiac ganglion and the treatment of secondary hyperparathyroidism can also be used alcohol injection. This article reports the long-term follow-up results of 15 cases of small liver tumors treated with percutaneous injection of alcohol. The tumor diameter was below 4.7 cm (1.5-4.7, average 2.7 cm), including 11 males and 4 females, aged 45-77 (average 59.5) years. Fourteen patients had severe cirrhosis and one patient had chronic liver disease complicated by laryngeal cancer. HCC patients underwent ultrasound-guided fine-needle aspiration biopsy confirmed by histology. The method of alcohol injection is to inject 1-4 ml of alcohol into the center of the tumor under the guidance of ultrasound.