CAJ | 학술논문

目的：探讨采用经皮肝穿瘤内注射热碘油吡柔比星乳剂治疗乏血供型肝转移癌的疗效。方法对12例经临床及病理检查证实为肝转移癌的患者,在行 CT 引导下使用21G 胆道穿刺针注射加热碘油吡柔比星乳剂,并术后记录不良反应和通过影像学评估其疗效。结果12例患者中,8例病灶缩小达到部分缓解,3例疾病稳定,未发生严重不良反应。结论采用经皮肝穿瘤内注射热碘油吡柔比星乳剂治疗乏血供的肝转移癌患者具有疗效肯定、操作简单、安全方便的优点。
목적：탐토채용경피간천류내주사열전유필유비성유제치료핍혈공형간전이암적료효。방법대12례경림상급병리검사증실위간전이암적환자,재행 CT 인도하사용21G 담도천자침주사가열전유필유비성유제,병술후기록불량반응화통과영상학평고기료효。결과12례환자중,8례병조축소체도부분완해,3례질병은정,미발생엄중불량반응。결론채용경피간천류내주사열전유필유비성유제치료핍혈공적간전이암환자구유료효긍정、조작간단、안전방편적우점。
Objective To explore the efficacy of percutaneous intratumoral injection of mixed emulsion with hot lipiodol and pira-rubicin for treatment of liver metastases lack of blood supply.Methods 12 patients with liver metastases,confirmed by the clinical and pathological examination,were treated by intratumoral injection of mixed emulsion with heating lipiodol and pirarubicin using 21G biliary needle under CT guidance.The adverse events were recorded and the treatment efficacy was also assessed according to the imaging findings.Results 8 patients achieved a partial remission of lesions,and 3 ones had stable condition.No serious adverse reactions occurred.Conclusion It is effective,simple,convenient and safe for treatment of liver metastases lack of blood supply with percutaneous intratumoral injection of emulsion with hot lipiodol and pirarubicin.