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本文对1990～1995年问100例原发性肝癌术后复发行肝动脉碘油栓塞治疗进行总结。肝癌术后复发时间2月～4年,平均复发时间为10.6月,一年内复发者占76％。病灶最大径0.5～25cm。平均为8.4cm。全组平均生存19.6月,一年,二年,三年累积生存率分别为79.8％,52.5％,23.5％。作者认为原发性肝癌术后短期内复发原因多为手术残留病灶所致。早期发现是提高肝癌术后复发治疗疗效的关键。术后短期血管造影检查有助于发现较早期的复发肿瘤。作者对肝癌术后复发的动脉栓塞实际操作中,某些不同于未手术病例的技术特点进行了总结。
This article summarizes the treatment of hepatic arterial lipiodol embolization in 100 patients with primary liver cancer from 1990 to 1995. The recurrence time of liver cancer after surgery was 2 months to 4 years. The average recurrence time was 10.6 months, and 76% of recurrences occurred within one year. The maximum diameter of the lesion is 0.5 to 25cm. The average is 8.4cm. The average survival of the whole group was 19.6 months, and the one-year, two-year and three-year cumulative survival rates were 79.8%, 52.5%, and 23.5%, respectively. The authors believe that the short-term recurrence of primary liver cancer is caused by residual surgical lesions. Early detection is the key to improving the curative effect of postoperative recurrence of liver cancer. Short-term angiographic examination after surgery can help detect earlier recurrent tumors. The authors summarized the technical features of different arterial embolizations after recurrent hepatocellular carcinoma.