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analysis of hepatocellular carcinoma and hypersplenism intervention(分析肝细胞癌和脾机能亢进的干预)
Analysis of hepatocellular carcinoma and hypersplenism intervention
[Abstract] Objective To investigate the hepatic arterial chemoembolization combined with partial splenic artery embolization in the treatment of liver cancer and the clinical effects of hypersplenism Methods Seldinger technique through the femoral artery catheterization hepatic artery embolization and partial splenic arterial line drugs and gelatin sponge embolism results of 29 patients, complete remission (CR) 17 patients and partial remission (PR) 8 cases, total effective rate was 86.2%, with no serious complications. Conclusion TACE and partial splenic embolization in the treatment of liver cancer and hypersplenism safe and effective method.
[Keywords:] liver cancer; hypersplenism; intervention Hepatic arterial chemoembolization (TACE) is currently the preferred treatment of advanced liver cancer one of the methods [1-2]. Partial splenic embolization (PSE) for the treatment of hypersplenism, the spleen retained some immune function and filtering function clinical results were satisfactory, has become the preferred treatment of hypersplenism method and our 29 cases of liver cancer patient with hypersplenism hepatic artery chemoembolization and partial splenic embolization therapy. better, are as follows.
1 Materials and methods 1.1 General Information The group of 29 patients, 18 males and 11 females ranging in age from 20 to 68 years, mean 44.1 years of age. Were confirmed by clinical examination, laboratory tests, B-, ultrasound, CT scan confirmed. Massive type, 24 cases of nodular 4 cases, diffuse in 1 case. hepatocellular carcinoma staging: Ⅰ 1 case, Ⅱ of 22 cases, Ⅲ in 6 cases. Liver function: A grade in 15 cases, B 10 cases, C-level in 4 cases. Blood tests: WBC: 1.1 ~ 6.3 * 109 / L, an average of 3.71 * 109/L.RBC: 2.7 ~ 4.7 * 1012 / L average 3.6 * 1012 / L. PCT: 31 ~ 67 * 109 / L, average 48 * 109 / L.
1.2 Treatment Seldinger technique through the femoral ar
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