[1]钱 亭,陈茂振,高 峰,等.经肝动脉碘化油/无水乙醇混合剂栓塞消融术治疗兔VX2肝癌的实验研究[J].介入放射学杂志,2014,(08):706-710.
 QIAN Ting,CHEN Mao zhen,GAO Feng,et al.Transhepatic arterial embolization ablation therapy with Lipiodol ethanol mixture for the treatment of VX2 liver cancer in experimental rabbits[J].journal interventional radiology,2014,(08):706-710.
点击复制

经肝动脉碘化油/无水乙醇混合剂栓塞消融术治疗兔VX2肝癌的实验研究 ()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2014年08期
页码:
706-710
栏目:
实验研究
出版日期:
2014-08-25

文章信息/Info

Title:
Transhepatic arterial embolization ablation therapy with Lipiodol ethanol mixture for the treatment of VX2 liver cancer in experimental rabbits
作者:
钱 亭 陈茂振 高 峰 尹化斌
Author(s):
QIAN Ting CHEN Mao zhen GAO Feng YIN Hua bin.
Department of Radiology, Shanghai Municipal Fifth People’s Hospital, Shanghai 200240, China
关键词:
【关键词】 肝癌 经动脉无水乙醇消融术 无水乙醇 碘化油 动物实验
文献标志码:
A
摘要:
【摘要】 目的 通过比较不同容积比例的碘化油-无水乙醇混合剂(Lipiodol ethanol mixture,LEM)治疗兔VX2肝癌模型的效果,确定LEM的最佳容积比例。方法 将18只新西兰白兔按碘化油 ∶ 无水乙醇容积比例3 ∶ 1(A)、2 ∶ 1(B)、1 ∶ 1(C)、1 ∶ 2(D)、1 ∶ 3(E)、1 ∶ 4(F)分为6组,每组3只。1周后取肿瘤组织行病理学检查,观察肿瘤生长率,肿瘤微血管密度,肿瘤细胞凋亡指数(apoptosis index,AI)及肿瘤边缘肝组织损伤情况。结果 A、E、F 3组肿瘤体积增大,A组肿瘤生长率明显高于其他5组,差异有统计学意义(P < 0.05),B、C、D 3组肿瘤体积缩小,但与肿瘤体积增大的E、F组比较,差异无统计学意义(P > 0.05)。不同容积比例LEM中,无水乙醇比例与肿瘤微血管密度呈负相关(R2 = 0.840,F = 89.432,P < 0.001)。A组肿瘤AI明显低于C、D、E、F组(P < 0.05), A、B组间差异无统计学意义(P > 0.05)。B组与C、F组间差异有统计学意义(P < 0.05),其他各组间差异无统计学意义(P > 0.05)。A、B组肿瘤周围肝组织损伤明显低于其他各组(P < 0.05)。结论 从安全性方面考虑,LEM的最佳容积比例为2 ∶ 1。若能做到超选择插管至肿瘤供血动脉,严密透视监视下注射,适当提高无水乙醇比例,疗效更佳。

参考文献/References:

[1] 史东宏, 曹建民, 许 健, 等. CT引导下兔VX2肝癌模型的制作及综合评估[J]. 介入放射学杂志, 2008, 17: 725 728.
[2] 江雄鹰, 罗荣光, 黄金华, 等. 兔VX2肝癌模型建立与经兔股动脉微导管超选择性肝左动脉插管技术的探讨[J]. 介入放射学杂志, 2011, 20: 214 217.
[3] Weidner N. Tumour vascularity and proliferation: clear evidence of a close relationship[J]. J Pathol, 1999, 189: 297 299.
[4] Suzuki S, Toledo Pereyra LH, Rodriguez FJ, et al. Neutrophil infiltration as an important factor in liver ischemia and reperfusion injury. Modulating effects of FK506 and cyclosporine[J]. Transplantation, 1993, 55: 1265 1272.
[5] 陈自谦, 杨 利, 杨熙章, 等. 肝癌介入治疗现状与进展[J]. 介入放射学杂志, 2008, 17: 223 227.
[6] Vivarelli M, Montalti R, Risaliti A. Multimodal treatment of hepatocellular carcinoma on cirrhosis: an update[J]. World J Gastroenterol, 2013, 19: 7316 7326.
[7] Yu SC, Hui EP, Wong J, et al. Transarterial ethanol ablation of hepatocellular carcinoma with lipiodol ethanol mixture: phase Ⅱstudy[J]. J Vasc Interv Radiol, 2008, 19: 95 103.
[8] Yu SC, Hui JW, Hui EP, et al. Embolization efficacy and treatment effectiveness of transarterial therapy for unresectable hepatocellular carcinoma: a case controlled comparison of transarterial ethanol ablation with lipiodol ethanol mixture versus transcatheter arterial chemoembolizat[J]. J Vasc Interv Radiol, 2009, 20: 352 359.
[9] Cheung YC, Ko SF, Ng SH, et al. Survival outcome of lobar or segmental transcatheter arterial embolization with ethanol lipiodol mixture in treating hepatocellular carcinoma[J]. World J Gastroenterol, 2005, 11: 2792 2795.
[10] Gu YK, Luo RG, Huang JH, et al. Transarterial embolization ablation of hepatocellular carcinoma with a lipiodol ethanol mixture[J]. World J Gastroenterol, 2010, 16: 5766 5772.
[11] 陈长广, 倪才方, 陈 珑. 肝动脉栓塞联合射频消融对兔肝癌模型VEGF及MVD的影响[J]. 介入放射学杂志, 2013, 22: 936 939.
[12] 兰春慧, 房殷春, 樊丽琳, 等. 介入治疗对兔VX2肝癌细胞增殖和凋亡的影响[J]. 临床消化病杂志, 2005, 17: 203 205.

相似文献/References:

[1]杨永波,程红岩.肝动脉化疗栓塞治疗中碘油用量的现状与研究进展[J].介入放射学杂志,2012,(04):348.
 .The volume of Lipiodol used in TACE: its current situation and research progress [J].journal interventional radiology,2012,(08):348.
[2]帕哈尔丁·白克热,杨树法,黄伍奎,等.肝动脉化疗栓塞联合射频消融术治疗30例原发性大肝癌的疗效评价[J].介入放射学杂志,2012,(04):322.
 ,,et al.TACE combined with radiofrequency ablation for massive primary hepatocellular carcinomas: a clinical therapeutic evaluation [J].journal interventional radiology,2012,(08):322.
[3]张   磊,陆骊工,李   勇,等.门静脉支架联合肝动脉化疗栓塞治疗肝癌伴门静脉癌栓的临床研究[J].介入放射学杂志,2011,(12):968.
 ZHANG Lei,LU Li-gong,LI Yong,et al.Portal vein stent placement combined with TACE for the treatment of hepatocellular carcinoma associated with tumor thrombus in portal vein[J].journal interventional radiology,2011,(08):968.
[4]敖 劲,张跃伟,徐 克. 明胶海绵微粒经动脉栓塞治疗原发性肝癌的研究现状[J].介入放射学杂志,2011,(12):1010.
 AO Jin,ZHANG Yue-wei,XU Ke..Gelatin sponge particle used as an embolic agent in transcatheter arterial chemoembolization treatment for primary hepatocellular carcinoma: its current situation in research[J].journal interventional radiology,2011,(08):1010.
[5]杜丹丹,吕维富. 肝癌射频消融后的影像学评价[J].介入放射学杂志,2012,(01):75.
 DU Dan dan,Lv Wei fu..Imaging evaluation of liver cancer after radiofrequency ablation therapy[J].journal interventional radiology,2012,(08):75.
[6]赵 艳,韩国宏,白 苇,等. 药物缓释微球肝动脉化疗栓塞治疗肝癌研究进展[J].介入放射学杂志,2012,(01):78.
 ZHAO Yan,HAN Guo-hong,BAI Wei,et al.Transarterial chemoembolization with drug-eluting beads for hepatocellular carcinoma: its research progress[J].journal interventional radiology,2012,(08):78.
[7]何海涛,刘 圣,刘建秦,等. 肝癌TACE术并发脑碘油栓塞二例并文献复习[J].介入放射学杂志,2012,(08):682.
 HE Hai- tao,LIU sheng,LIU Jian- qing,et al. Cerebral Lipiodol embolism occurred after transcatheter arterial chemoembolization for hepatocellular carcinoma: report of two cases with literature review[J].journal interventional radiology,2012,(08):682.
[8]罗中华,秦 勉,张学昕,等.原发性肝癌合并下腔静脉及右心房癌栓的动脉内化疗栓塞治疗[J].介入放射学杂志,2012,(12):1035.
 LUO Zhong? hua,QIN Mian,ZHANG Xue? xin,et al. Transcatheter arterial chemoembolization for hepatocellular carcinoma complicated by tumor thrombus in inferior vena cava and right atrium[J].journal interventional radiology,2012,(08):1035.
[9]徐 阳,臧 爽,陈路锋,等.Logistic回归及ROC曲线综合评价血生化指标对肝癌TACE术后发热的预测价值 [J].介入放射学杂志,2013,(06):513.
 XU Yang,ZANG Shuang,CHEN Lu? feng,et al. Combination evaluation of plasma biochemical indexes with Logistic regression and ROC analysis in predicting hyperthermia after transcatheter hepatic arterial chemoembolization for liver cancer[J].journal interventional radiology,2013,(08):513.
[10]彭国文,李晓群. 射频消融及组合方案治疗特殊/高危部位肝癌的中远期疗效[J].介入放射学杂志,2013,(06):525.
 PENG Guo? wen,LI Xiao? qun.. The mid?蛳 to?蛳 long term efficacy of radiofrequency ablation together with combination regimen for the treatment of hepatic carcinomas located at special or high?蛳 risk regions[J].journal interventional radiology,2013,(08):525.

备注/Memo

备注/Memo:
(收稿日期:2013-12-02)
(本文编辑:侯虹鲁)
更新日期/Last Update: 2014-08-22