| 原发性肝癌合并门静脉癌栓的治疗策略 |
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| 引用本文： | 张宗明,张翀,于宏伟,刘卓,万柏江,孙秋红,邓海,田祖豪.原发性肝癌合并门静脉癌栓的治疗策略[J].腹部外科,2014,27(5):388-392. |
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| 作者姓名： | 张宗明 张翀 于宏伟 刘卓 万柏江 孙秋红 邓海 田祖豪 |
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| 作者单位： | 首都医科大学北京电力医院普外科,北京,100073 |
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| 摘 要： | 门静脉癌栓（portal vein tumor thrombus，PVTT）是原发性肝癌（hepatocellular carcinoma，HCC）的常见并发症，目前的治疗方法有外科手术切除、经肝动脉介入治疗、经门静脉介入治疗、经肝动脉和门静脉双途径介入治疗、放射治疗、消融治疗、肝移植、分子靶向治疗、综合治疗等，本文对上述各种治疗方法的近况进行了评价，以期进一步提高其治疗效果。
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| 关 键 词： | 肝肿瘤 门静脉癌栓 治疗策略 |
The strategies for treating primary hepatocellular carcinoma with portal vein tumor thrombus |
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| Zhang Zongming,Zhang Chong,Yu Hongwei,Liu Zhuo,Wan Bojiang,Sun Qiuhong,Deng Hai,Tian Zuhao.The strategies for treating primary hepatocellular carcinoma with portal vein tumor thrombus[J].Journal of Abdominal Surgery,2014,27(5):388-392. |
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| Authors: | Zhang Zongming Zhang Chong Yu Hongwei Liu Zhuo Wan Bojiang Sun Qiuhong Deng Hai Tian Zuhao |
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| Institution: | . (Department of General Surgery, Beijing Electric Power Hospital ,Capital Medical University, Beijing 100073, China) |
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| Abstract: | Portal vein tumor thrombus（PVTT）is a common complication of hepatocellular carcinoma （HCC）. The therapeutic approach consists of surgical resection, transcatheter arterial chemoembolization （TACE） or ehemoinfusion （TACI）, portal vein chemoembolization （PVCE） or stenting （PVS）, dual perfusion chemoembolization via hepatic artery and portal vein, radiotherapy, ablation therapy, liver transplantation, molecular targeted therapy, multidiseiplinary treatments, etc. All of these therapeutic approaches were separately evaluated in details and summarized to further improve the effectiveness and prognosis of HCC patients with PVTT. |
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| Keywords: | Liver neoplasms Portal vein tumor thrombus therapeutic strategy |
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