原发性肝癌合并糖尿病的介入治疗

目的　研究原发性肝癌合并糖尿病的介入治疗方法。方法　临床明确诊断的 3 4例肝癌合并糖尿病患者在介入治疗前后通过口服降糖药或注射胰岛素将血糖、尿糖控制在安全范围内 ,并对隐性感染或感染源进行治疗 ,然后再行肝动脉化疗灌注栓塞术。结果　 3 4例患者介入治疗前血糖均降到 9.0mmol/L以下 ,尿糖控制在 -～ ++,术后均未发生严重并发症 ,仅有 2例出现慢性胆囊炎急性发作 ,经抗炎、利胆治疗后安全出院。结论　肝癌合并糖尿病患者在血糖、尿糖降到一定的范围内 ,消除潜在的感染 ,行肝动脉化疗栓塞治疗是安全可行的

Interventional therapy of primary hepatocellular carcioma accompanied by diabetes

Objective To evaluate the interventional treatment of primary hepatocellular carcinoma (HCC) with diabetes. Methods Blood and urine glucose of 34 patients with HCC accompanied diabetes were effectually controlled before and after interventional treatment by taking medicine or injecting insulin, And potential infection or infecting causewas immediately treated. All cases were treated with transhepatic arterial chemoembolization (TACE). Results The blood glucose of all patients was reduced to 9.00 mmol/L, The urine glucose was controlled between -～++. There were nothing to the serious complications after operation, But 2 cases had acute attacks of chronic cholecystitis. and completely recovered after treatment. Conclusion The interventional treatment of HCC accompanied by diabetes is indeed an effective and safe means on condition that theirblood and urine glucose is effectually controlled.