Granov A M, Tarazov P G, Ryzhkov V K, Noskov A A, Polysalov V N, Derkach V Iu, Dmitrieva I A, Gapchenko E M
Khirurgiia (Mosk). 1991 Apr(4):80-6.
The results of therapeutic hepatic artery embolization (HAE) in 25 patients with malignant unresectable tumors of the liver are discussed. The proximal segments of the hepatic artery were occluded by metal spirals. Thrombosis of the portal vein was accepted as an absolute contraindication for HAE, and a tumor involving more than 50% of the volume of the liver and chronic hepatic insufficiency were considered relative contraindications. After the intervention signs of subjective improvement were noted in 73.9% and signs of objective improvement in 65.2% of cases. The mortality after HAE was 4.2%. The obtained results are evidence of the efficacy of proximal HAE as a method for the treatment of inoperable malignant tumors of the liver.
本文讨论了25例无法切除的肝脏恶性肿瘤患者接受治疗性肝动脉栓塞术(HAE)的结果。肝动脉近端段用金属螺旋圈闭塞。门静脉血栓形成被视为HAE的绝对禁忌证,而肿瘤累及肝脏体积超过50%和慢性肝功能不全被视为相对禁忌证。干预后,73.9%的病例有主观改善迹象,65.2%的病例有客观改善迹象。HAE术后死亡率为4.2%。所获结果证明近端HAE作为一种治疗无法手术的肝脏恶性肿瘤的方法是有效的。