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原发性肝癌合并腹腔积液,尤其是肝癌合并有门静脉癌栓栓塞引起的顽固性腹水,是晚期肝癌,肝硬变较难处理的情况,也是当今尚未攻克的难题之一。我院从1997年4月份起采用腹水浓缩回输后腹腔内注射榄香烯乳治疗肝癌癌性腹水28例,疗效满意,现报告如下。 1 资料与方法 1.1 临床资料 男性16例,女性12例,年龄37~69岁,平均48.20岁。全部患者诊断均经CT、MRI、彩超、B超诊断证实,其中12例经肝活检为肝细胞癌。全部病例均为病毒性肝炎肝硬变转变成的原发性肝癌,21例为乙型肝炎,5例为丙型肝炎,2例为乙丙型肝炎病毒混合感染。具体分类:6例为弥漫型,
Primary liver cancer combined with ascites, especially liver cancer with portal vein embolism caused by refractory ascites, advanced liver cancer, cirrhosis more difficult to deal with the situation, but also one of the problems not yet overcome. Our hospital since April 1997 with ascites concentrated after transfusion of abdominal injection of elemene in the treatment of liver cancer ascites in 28 cases, the results are satisfactory, are as follows. 1 Materials and Methods 1.1 Clinical data of 16 males and 12 females, aged 37 to 69 years, mean 48.20 years. All patients were diagnosed by CT, MRI, color Doppler ultrasound confirmed by B-ultrasound, of which 12 cases of liver biopsy by liver cancer. All cases were cirrhosis of the liver converted into primary liver cancer, 21 cases of hepatitis B, 5 cases of hepatitis C, 2 cases of mixed hepatitis B and C virus infection. Specific classification: 6 cases were diffuse,