110heat lipiodol ultra selective hepatic arterial chemoembolization for hepatocellular carcinoma.docVIP

 PAGE \* MERGEFORMAT 6 110heat lipiodol ultra selective hepatic arterial chemoembolization for hepatocellular carcinoma [Keywords:] primary liver cancer Embolization of hepatic artery infusion chemotherapy is the preferred method of treatment of primary liver cancer, its good characteristics such as efficacy and minimally invasive treatment of advanced liver cancer to become an effective method [1]. This author has collected in 2004-2005 in Beijing University Third Hospital study of 32 cases of primary liver cancer during the patient line 110 heat lipiodol ultra-selective hepatic artery chemoembolization, are reported below. 1 Materials and Methods 1.1 Clinical data The group of 32 patients, 27 males and 5 females, aged 42 to 81 years, mean 61.5 years of age. Underwent B-, CT, immunoglobulin A determination of fetal hepatic artery angiography, the diagnosis of primary liver cancer diagnosis Standard .32 cases were positive for HBsAg. tumor diameter 3.0 ~ 13.2cm, average 8.1cm. block 24 cases, 8 cases of small hepatocellular carcinoma. There was no indication for surgery in newly diagnosed. 1.2 Methods Siemens C-arm with digital subtraction machine. All patients Seldinger technique femoral artery puncture, abdominal cavity or the hepatic artery angiography, the tumor location, size, shape, blood supply, and are indirectly via the superior mesenteric artery portography observed and whether the portal vein tumor thrombus. According to angiography, superselective catheterization of tumor feeding arteries to the liver by catheter infusion, embolization. chemotherapeutic agents: 5 - fluorouracil 1 000 ~ 1 250mg, cisplatin 60 ~ 80mg , doxorubicin 40 ~ 60mg, etc. embolic agent for the law made lipiodol 5 ~ 20mL plus cisplatin or doxorubicin into the beaker quickly furnace heated to 110 within the target vessel by the catheter. each intervention chemotherapy dosage of drug dose and embolization in patients with specific conditions and imaging base