摘要
目的:探讨超声引导下经皮肝内肿瘤穿刺注射无水酒精(PEI)治疗肝癌的疗效。方法:应用彩色多普勒超声引导经皮肝内肿瘤穿刺注射无水酒精治疗50例肝癌,每周1-2次,4-6次为1疗程,并对肿瘤大小变化进行检测。结果:治疗后3月彩超检查,其中3例肿块完全消失,23例肿块均有不同程度的缩小,另24例肿块无变化或增大。治疗后肿块中央回声增强,周边呈低回声,境界清晰,肿瘤内血流消失或减少。病人治疗后全身情况好转,症状减轻或消失,饮食明显增加,生活质量提高,甲胎蛋白(AFP)8例转阴,16例下降50%以上,无严重并发症发生。结论:超声引导酒精介入治疗对肝癌的治疗有较好的疗效,安全实用。
Objective. To evaluate the feasibility of percutaneous ethanol injection （PEI） under color Doppler flow imaging （CDFI） in the treatment of hepatoma. Methods. Under the ultrasonic guidance, patients with hepatoma underwent PEI therapy, and ethanol was injected slowly into the center of tumors. With once or twice in a week, four to six successive injections were finished during a full period of treatment. Results. Three months after the treatment, the mean diameter of 23 lesions （nodules） were decreased and the blood flow in nodules disappeared. Tumor nodules disappeared in three cases after three months＇ follow-up. All patients showed relief or disappearance of the symptoms, significant increasing in appetites and the serum AFP was decreased in 24 patients. No serious complication was observed. Conclusion： PEI under the guidance of CDFI is an effective and safe treatment for hepatoma.
出处
《武汉大学学报（医学版）》
CAS
2007年第2期243-245,共3页
Medical Journal of Wuhan University
关键词
超声
酒精注射
肝癌
Ultrasonography
Percutaneous Ethanol
Injection
Hepatoma
