| TACE联合MRI引导下射频消融术治疗原发性肝癌 |
| |
| 引用本文： | 陈仲武,林征宇,陈一平,陈锦.TACE联合MRI引导下射频消融术治疗原发性肝癌[J].中国介入影像与治疗学,2014,11(10):635-638. |
| |
| 作者姓名： | 陈仲武 林征宇 陈一平 陈锦 |
| |
| 作者单位： | 福建医科大学附属第一医院介入科, 福建 福州 350005;福建医科大学附属第一医院介入科, 福建 福州 350005;福建医科大学附属第一医院介入科, 福建 福州 350005;福建医科大学附属第一医院介入科, 福建 福州 350005 |
| |
| 摘 要： | 目的探讨TACE联合MRI引导下射频消融(RFA)治疗原发性肝癌(PHC)的疗效。方法纳入接受TACE联合MRI引导下RFA的PHC患者50例(88个病灶),治疗后随访AFP水平及肿瘤复发情况。结果平均随访(15.35±8.49)个月。治疗后2个月,患者AFP水平为(33.94±11.64)μg/L,明显低于治疗前水平(302.29±55.11)μg/L,P0.01]。共9个治疗病灶复发,治疗后0.5年、1年、1.5年、2年和2.5年治疗病灶累积复发率分别为0、0、1.14%(1/88)、4.55%(4/88)和10.23%(9/88);共35例患者复发,治疗后0.5年、1年、1.5年、2年和2.5年总累积复发率分别为4.00%(2/50)、32.00%(16/50)、52.00%(26/50)、64.00%(32/50)和70.00%(35/50)。结论 TACE联合MRI引导下RFA治疗PHC创伤小、治疗病灶复发率相对较低,具有较高临床应用价值。
|
| 关 键 词： | 癌 肝细胞 栓塞 治疗性 消融技术 磁共振成像 |
| 收稿时间： | 2014/3/23 0:00:00 |
| 修稿时间： | 2014/4/24 0:00:00 |
TACE combined with MRI-guided radiofrequency ablation in treatment of primary hepatic carcinoma |
| |
| CHEN Zhong-wu,LIN Zheng-yu,CHEN Yi-ping and CHEN Jin.TACE combined with MRI-guided radiofrequency ablation in treatment of primary hepatic carcinoma[J].Chinese Journal of Interventional Imaging and Therapy,2014,11(10):635-638. |
| |
| Authors: | CHEN Zhong-wu LIN Zheng-yu CHEN Yi-ping and CHEN Jin |
| |
| Institution: | Department of Intervention, the First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China;Department of Intervention, the First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China;Department of Intervention, the First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China;Department of Intervention, the First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China |
| |
| Abstract: | Objective To evaluate the efficacy of TACE combined with MRI-guided radiofrequency ablation（RFA）in treatment of primary hepatic carcinoma（PHC）.Methods A total of 50 patients with 88 lesions of PHC received TACE combined with MRI-guided RFA.The AFP level and the recurrence of PHC were assessed.Results The patients were followed up for（15.35±8.49）months.AFP level was（33.94±11.64）μg/L 2months after sequential operation,significantly lower than that before operation（302.29±55.11]μg/L,P〈0.01）.PHC recurrence was noticed in 9primarily treated lesions,and the cumulative recurrence rate of primarily treated lesions was 0,0,1.14%（1/88）,4.55%（4/88）and 10.23%（9/88）for 0.5,1,1.5,2and 2.5years after combined therapy,respectively.PHC recurrence was found in35 patients,and the total cumulative recurrence rate was 4.00%（2/50）,32.00%（16/50）,52.00%（26/50）,64.00%（32/50）and 70.00%（35/50）for 0.5,1,1.5,2and 2.5years after combined therapy,respectively.Conclusion TACE combined with MRI-guided RFA is effective for treatment of PHC with small trauma and relative low recurrence,therefore having great clinical value. |
| |
| Keywords: | Carcinoma hepatocellular Embolization therapeutic Ablation techniques Magnetic resonance imaging |
| 本文献已被 CNKI 维普 等数据库收录！ |
| 点击此处可从《中国介入影像与治疗学》浏览原始摘要信息 |
| 点击此处可从《中国介入影像与治疗学》下载免费的PDF全文 |
|
