Li B, Wu M, Chen H
Institut of Heptobiliary Surgery, Second Military Medical University, Shanghai.
Zhonghua Zhong Liu Za Zhi. 1995 Sep;17(5):371-3.
This article reported 109 cases of postoperative recurrent primary liver cancer, treated with percutaneous ethanol injection therapy (PEIT) under the guidance of conventional ultrasonic transducer, the total number of injection being 637 times. No metastasis through the needle track or other serious complications were encountered. The 1.3 and 5 year survival rates were 92.6%, 47.8%, and 19%, respectively. We noted that the key factor affecting the efficacy of treatment was the accurate localization of puncture, rather than the times of injection or the quantity of ethanol injected. Criteria for the judgement of treatment and precautions to be noted concerning the procedure were suggested. It is concluded that PEIT is the treatment of choice in the management of non-operable, single, and comparativly smalle focus of postoperative recurrent primary liver cancer.
本文报道了109例原发性肝癌术后复发患者,采用常规超声探头引导下经皮乙醇注射疗法(PEIT)治疗,注射总次数为637次。未出现针道转移或其他严重并发症。1、3、5年生存率分别为92.6%、47.8%和19%。我们注意到,影响治疗效果的关键因素是穿刺定位准确,而非注射次数或注射乙醇量。文中提出了治疗判断标准及该操作应注意的事项。结论是,PEIT是不可手术的、单发且相对较小的原发性肝癌术后复发灶的首选治疗方法。