Lin Z Y, Wang J H, Wang L Y, Lu S N, Chen S C, Chuang W L, Hsieh M Y, Tsai J F, Chang W Y
Department of Internal Medicine, Kaohsiung Medical College Hospital, Taiwan, Republic of China.
J Ultrasound Med. 1996 Feb;15(2):155-60. doi: 10.7863/jum.1996.15.2.155.
Percutaneous intravascular ethanol injection of the supplying vessel of the tumor using color Doppler imaging was performed in three patients (three lesions) with hepatocellular carcinoma measuring more than 3 cm. Intravascular injection was achieved in six out ot seven attempts. The total amount of ethanol injected intravascularly was small (10, 15,0 and 26 ml for each patient). One attempt failed and the ethanol was injected perivascularly. No serious complication was noted. After treatment, two patients showed remarkable decrease in tumor size and one showed massive tumor necrosis. In conclusion, ethanol injection using the intravascular approach may be of value in the palliative management of large hepatocellular carcinomas.
对3例（3个病灶）直径超过3 cm的肝细胞癌患者，采用彩色多普勒成像引导经皮向肿瘤供血血管内注射乙醇。7次尝试中有6次成功实现血管内注射。血管内注射的乙醇总量较少（每位患者分别为10、15、0和26 ml）。1次尝试失败，乙醇被注射到血管外。未观察到严重并发症。治疗后，2例患者肿瘤大小显著减小，1例出现大块肿瘤坏死。总之，血管内注射乙醇在大肝细胞癌的姑息治疗中可能具有价值。
