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本文收集了44例、年龄26～70岁,全部经AFP、B超、CT及血管造影证实均符合原发性肝癌诊断标准的一组病例,行67次肝动脉灌注化疗(HAI)和/或肝动脉栓塞治疗(HAE),其中5例辅以原发灶和转移灶的酒精硬化治疗并行随访观察;结果全部病例自觉症状改善,5例腹水和黄疸消失,2例黑便消失,1例锁骨上和腹股沟转移淋巴结软化,66.7％肝脏有不同程度缩小,16.8％保持稳定,一年以上随访的11例中6例存活超过一年,生存超过6个月的占64.7％,经上述治疗后有4例中晚期肝癌重新获得手术切除。介入治疗对中晚期肝癌是一项极其有效的方法。本组全部病例治疗后症状均改善,提高了生存质量。治疗方法以联合治疗最佳,特别对巨块及结节型伴或不伴转移者,辅以原发灶和转移灶酒精硬化治疗,其疗效明显提高。
This article collected a group of 44 cases, aged 26 to 70 years, all of which were confirmed by AFP, B-ultrasonography, CT, and angiography to meet the diagnostic criteria of primary liver cancer, and performed 67 hepatic arterial infusion chemotherapy (HAI) and/or Hepatic artery embolization (HAE), 5 cases of alcohol sclerotherapy supplemented with primary and metastatic lesions were followed in parallel; the subjective symptoms were improved in all cases, 5 cases of ascites and jaundice disappeared, 2 cases of black stool disappeared, and 1 case was clavicle In the upper and inguinal metastatic lymph nodes, 66.7% of the liver had decreased to some degree, and 16.8% remained stable. Of the 11 patients followed for more than one year, 6 survived more than one year and 64.7% survived more than 6 months after treatment. Four cases of advanced liver cancer regained surgical resection. Interventional treatment is an extremely effective method for advanced liver cancer. All the patients in this group had improved symptoms after treatment and improved their quality of life. Treatment with combination therapy is best, especially for masses and nodules with or without metastasis, supplemented with primary and metastatic lesions of alcohol sclerotherapy, its efficacy has improved significantly.