目的探讨原发性肝癌介入栓塞术后的CT表现与临床症状及预后的关系,以提高对原发性肝癌介入栓塞术的认识及对预后的判断。方法从本科室2002～2008年6月期间CT检查结合临床其他检查确诊为原发性肝癌,而临床资料比较完整的36例患者,对其介入栓塞术后的CT表现及临床征象结合文献进行分析讨论。结果 36例患者中有24例(66.7%),发生沉积区丢失碘化油现象其中第一次栓塞后丢失15例。24例中有14例,均出现碘化油不同程度的沉积不全,因肿瘤复发增大及肝功能下降等,在两年内死亡。生存两年以上的22例。12例碘油一直沉积,其余皆及时介入治疗使碘油保持沉积。结论采用CT扫描,动态随访,观察肿瘤部位碘化油沉积形态的改变,及时发现、及时治疗是维持疗效,判断预后的有效方法。 Objective To investigate the relationship between CT manifestations and clinical symptoms and prognosis after primary liver cancer interventional embolization in order to improve the understanding of the interventional embolization of primary liver cancer and to judge the prognosis. Methods Thirty-six patients diagnosed as primary hepatocellular carcinoma by CT combined with clinical examination from 2002-2008 in our department and with complete clinical data were analyzed for their CT findings and clinical signs after the interventional embolization discuss. Results Of the 36 patients, 24 (66.7%) had iodinated oil loss in the sedimentation area, of which 15 were lost after the first embolization. There were 14 cases in 24 cases, all of which showed different levels of incomplete deposition of iodized oil and died within two years due to the increased tumor recurrence and decreased liver function. Survival of more than two years in 22 cases. 12 cases of lipiodol has been deposited, the rest are prompt interventional treatment of lipiodol to maintain deposition. Conclusions CT scanning and dynamic follow-up were used to observe the change of deposition pattern of iodized oil in the tumor site. It was found that timely treatment was an effective method to maintain the curative effect and judge the prognosis.