Ultrasound-guided percutaneous ethanol injection in the treatment of hepatocellular carcinoma combined with portal vein tumor thrombosis
- VernacularTitle:超声引导经皮无水乙醇注射治疗肝癌伴发门静脉癌栓
- Author:
Xiujuan ZHANG
;
Liwu LIN
;
Ensheng XUE
;
Zhikui CHEN
;
Liyun YU
- Publication Type:Journal Article
- Keywords:
Carcinoma,hepatocellular;
Portal vein;
Venous thrombosis;
Ultrasonography,interventional;
Anhydrous ethanol
- From:
Chinese Journal of Interventional Imaging and Therapy
2011;08(5):367-370
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo assess the clinical value of ultrasound-guided percutaneous ethanol injection (PEI) in the treatment of hepatocellular carcinoma (HCC) combined with portal vein tumor thrombosis (PVTT).MethodsNinety HCC patients with different type PVTT underwent ultrasound-guided PEI once or twice a week.The follow-up lasted 12 to 60 months,and the 1-,2-,3-,4- and 5-year survival rates were calculated.ResultsThe median survival time of HCC combined with PVTT patients treated with PEI was 12 months,and the 1-,2-,3-,4- and 5-year survival rates was 52.22%,23.33%,15.56%,12.22% and 10.00%,respectively.The survival rate correlated significantly to the type of PVTT.The lower the type of PVTT was,the longer the patients lived.ConclusionUltrasound-guided PEI is a safe and effective method for the treatment of HCC combined with PVTT,and can prolong the survival time of HCC patients with low type PVTT.