【摘要】 目的 探讨双重介入治疗肝癌的临床效果。方法 回顾性总结我院近5年来以不同方式进行的双重介入治疗肝癌近200例资料，通过分析其病理、生化、影像及生存率等临床因素，比较各种治疗方式的价值及优缺点。结果 超选择性肝动脉栓塞化疗S-TACE与常规肝动脉注射抗癌混悬液栓塞化疗C-TACE比较，前者病人反应小，肿瘤杀伤力作用大，对非肿瘤组织损害轻，生存率低于C-TACE;有效率分别为61.2%和65.8%，肝动脉插管化疗后再经皮无水酒精注射术PEI联合栓塞治疗可以起到杀死残癌灶作用，有效率为71.2%。肝动脉插管化疗后经皮肝穿刺肿癌组织内注射CD3AK细胞后有效率RR(CR+PR)达91.6%，患者的细胞免疫功能明显提高(P<0.01)。生存率亦明显提高。对肝癌的各种并发症如采用不同方式的介入治疗，能不同程度地改善患者的生存质量或提高生存率。结论 肝癌的双重介入治疗应根据肿瘤的大小、类型、血供等选择不同的治疗方式;对肝癌的各种并发症采取积极的双重介入治疗是有效和必要的。

    关键词 癌 肝细胞性/治疗 肝肿瘤/治疗 双重介入 介性超声

    Dual infusin of interventional treatment for hepatocellular carcinoma 200 cases study

    Gao Congjing，Xu Yongmao，Zhang Nanzheng，et al.

    Department of Radiology.The 97th hospital of PLA Xu zhou，221004.

    【Abstract】 Objective To analyze the treating 200 cases for dual infusion interventional treatment of hepatocellular carcinona(HCC). Methods The data of 200HCC patients treated by different kinds of interventioanl treatment were reviewed with their results of biochemistry imaging. Pathology and survival rate evaluated. The value as well as the pros and cons of these dual infusion interventional treatment were compared in order to find and optimun protool. Results segmental tramseatheter oil chemoembol ization(S-TOCE)was much effective eradicate the tumor yet inflicting less damage on the moncanceraus hepatic tissue and giving much higher suruival rate than the conventional transcather oil chemoemboi Zation(C-TOCE). Percutaneous ethanol injection(PEI)played an important role in cradicating the residual tumor and improving the survival rate without daonaging the moncancereus hepatic tissue. The suvuival quality or survivial rate could be improved by choosing ......