张斗元 金 龙

    [摘要] 目的：研究热碘油(110℃)栓塞术在小肝癌治疗中的临床价值。方法：38例单结节小肝癌(均为原发性)接受了118次超选择肿瘤动脉造影。其中，施行瘤内热碘油栓塞治疗103次(38例)，15次因第一次热碘油栓塞术后肿瘤动脉完全闭塞未再行栓塞术。结果：38例均获得瘤体内完全性、充填性热碘油栓塞。4例施行了手术切除，病理检查显示：癌组织坏死100%。全组平均随访35(14～55)个月，患者均存活，未发生严重并发症。结论：采用热碘油栓塞术治疗小肝癌的初步结果似乎与外科手术具有可比性，能否替代手术尚需进一步随访研究和积累病例。

    [关键词] 肝细胞肝癌；热碘油(110℃)；栓塞治疗；介入放射学

    [中图分类号] R735.7[文献标识码]A[文章编号]1673-7210(2009)01(a)-031-02

    Intratumorous embolization therapy through hot lipiodol for 38 cases of small carcinoma of the liver

    ZHANG Dou-yuan, JIN Long

    (Yanbian Tumour Hospital, Yanji133000, China)

    [Abstract] Objective: To investigate the clinical value of treating small carcinoma of liver through hot lipiodol (110℃) embolization. Methods: 118 cases of highly selective angiography were performed in 38 patients who had single nodular hepatocellular carcinoma(all primary). 103 cases of the intratumorous embolization therapy using hot lipiodol were performed in 38 patients, 15 cases of the therapy using hot lipiodol were not performed again for tumor feeding artery. Results: The completely filled-full intratumorous embolization was obtained in all patients. The complete necrosis was confirmed in 4 patients followed by carcinoma resection. Pathologic examination indicated that, necrosis of cancer tissue was 100 percent. Within the follow-up average 35 months(14 to 55 months), all patients were alive and there was no serious complication occurred. Conclusion: The completely filled-full intratumorous embolization for small carcinoma of the liver can be achieved by using the skills of hot lipiodol therapy. The satisfactory priliminary results seem to be comparable to that of the surgery. Further study is necessary. ......