| 射频消融联合肝动脉化疗栓塞对原发性肝癌的疗效分析 |
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| 引用本文： | 宋莉,佟小强,王健,杨敏,吕永兴,邹英华.射频消融联合肝动脉化疗栓塞对原发性肝癌的疗效分析[J].当代医学,2009,15(23):404-406. |
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| 作者姓名： | 宋莉 佟小强 王健 杨敏 吕永兴 邹英华 |
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| 作者单位： | 北京,100034,北京大学第一医院介入血管外科 |
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| 摘 要： | 目的评价射频消融联合肝动脉化疗栓塞对原发性肝癌的治疗效果,总结治疗过程中的经验教训。方法对81例原发性肝癌患者共114个病灶进行射频消融治疗联合肝动脉化疗栓塞。术前术后患者均进行增强CT扫描,随访期间患者每2～3个月进行一次CT扫描。结果平均随访30±10.9（17～49）个月。至观察终点1、2、3年生存率分别为96.6%、93.2%和68.2%。中位生存期为34个月（95%CI：18～49月）。全组死亡24例,目前存活57例,其中35例处于疾病控制期。结论射频消融结合TACE治疗可有效治疗原发性肝癌,可延长患者的生存期。
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| 关 键 词： | 射频消融 肝脏恶性肿瘤 |
Effect of RFA combined with TACE for Primary Hepatocellular Carcinoma |
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| SONG Li,TONG Xiao-qiang,WANG Jian,YANG Min,LV Yong-xing,ZOU Ying-hua.Effect of RFA combined with TACE for Primary Hepatocellular Carcinoma[J].Contemporary Medicine,2009,15(23):404-406. |
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| Authors: | SONG Li TONG Xiao-qiang WANG Jian YANG Min LV Yong-xing ZOU Ying-hua |
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| Institution: | SONG Li,TONG Xiao-qiang WANG Jian,YANG Min,LV Yong-xing,ZOU Ying-hua Department of interventional radiology , vascular surgery,Peking University 1st Hospital,Beijing 100034 |
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| Abstract: | Objectives： To investigate the efficacy and safety of RFA in treating primary hepatocellular carcinoma. Methods： Eighty-one patients with total 114 tumors were treated with radiofrequency ablation combined with TACE. Preoperative and postprocedural CT scans were taken in all patients. During follow-up patients underwent enhanced CT in every 2-3 month interval. Results： Median following-up duration was 30 ± 10.9months （17-49）. The median survival time was 34 monthes （95%CI： 18-49 mo.）.1-,2and 3-year survival rate was 96.6%, 93.2% and 68.2%, respectively. 57 patients who were still alive when following-up ended. Conclusions： Radiofrequency ablation combined with TACE is effective and reliable in treating primary hepatocellular carcinoma. It may prolong the survival of the patients. |
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| Keywords: | radiofrequency ablation primary hepatocellular carcinoma |
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