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介入治疗原发性肝癌的临床疗效分析
引用本文:杨广辉,韩正祥,荣玉涛. 介入治疗原发性肝癌的临床疗效分析[J]. 实用医技杂志, 2012, 19(5): 459-461
作者姓名:杨广辉  韩正祥  荣玉涛
作者单位:1. 江苏省沛县人民医院,221600
2. 徐州医学院附属医院
基金项目:江苏省徐州市科技发展基金
摘    要:
目的比较肝动脉化疗栓塞术(TACE)、微波消融治疗(PMCT)及TACE+PMCT 3种介入治疗方案对原发性肝癌的临床疗效,为制定治疗方案,提高原发性肝癌(PHC)的治疗疗效提供依据。方法回顾性分析107例分别进行TACE、PMCT及TACE+PMCT 3种介入治疗方案治疗的原发性肝癌病例的临床疗效。结果 3组中以TACE+PMCT治疗效果最好,生存率最高,血清甲胎蛋白(AFP)改善以及肝功能分级改善情况以TACE+PMCT组最佳。结论TACE+PMCT疗效显著,治疗后AFP及肝功能改善情况显著优于单纯TACE或PMCT方案,是治疗原发性肝癌的疗效确切、安全、微创的综合治疗方法。

关 键 词:肝肿瘤  超声检查,介入性  治疗结果

Clinical analysis of interventional procedure in primary hepatic cancer
YANG Guang-hui , HAN Zheng-xiang , RONG Yu-tao. Clinical analysis of interventional procedure in primary hepatic cancer[J]. Journal of Practical Medical Techniques, 2012, 19(5): 459-461
Authors:YANG Guang-hui    HAN Zheng-xiang    RONG Yu-tao
Affiliation:.The People′s Hospital of Peixian,Jiangsu 221600,China
Abstract:
Objective To provide a theory-based evidence for the formulation of treatment plan,the effects of inter-ventional treatment by comparing interventional treatments transcatheter arterial chembolization(TACE),percutanousn microwave coagulation therapy(PMCT) and TACE+PMCT for primary hepatic cancer(PHC).Methods One hundred and seven PHC patients treated with TACE,PMCT and TACE+PMCT were studied retrospectively.Results Of the 3 groups,TACE+PMCT group obtained the best curative effect,the highest survival rate,the best achievement on reducing AFP value and the improvement of liver functional also happened in TACE+PMCT group.Conclusion TACE+PMCT treament has notably curative effect.With TACE+PMCT treatment,the decrease of AFP value after treatment and the improvement of liver function on paients are also obviously better than treated with either TACE or PMCT,It is a safe and effective method in the treatment of PHC with few complication.
Keywords:Liver neoplasms  Ultrasonography,mterventional  Treatment outcome
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