| 影响中晚期原发性肝癌远期疗效的因素———以肝动脉化疗栓塞术为主的多模式治疗 |
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| 引用本文： | 李槐,曾辉英,杨玲,刘德忠,姜文浩,李忱瑞,史仲华,周纯武.影响中晚期原发性肝癌远期疗效的因素———以肝动脉化疗栓塞术为主的多模式治疗[J].中国医学影像技术,2000,16(11):930-932. |
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| 作者姓名： | 李槐 曾辉英 杨玲 刘德忠 姜文浩 李忱瑞 史仲华 周纯武 |
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| 作者单位： | 中国医学科学院中国协和医科大学肿瘤医院影像诊断科，北京 100021 |
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| 基金项目： | 本课题为国家“九五”攻关资助项目(96-907-03-01)。 |
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| 摘 要： | 目的 评价影响中晚期原发性肝癌（以肝动脉化疗栓塞术（ＴＡＣＥ）为主的多模式治疗）远期疗效的因素。方法 对曾采用ＴＡＣＥ在内的多模式治疗的８９例中晚期原发性肝癌，选择１５个变量，行Ｃｏｘ回归模型分析影响远期疗效的因素。结果 单因素Ｃｏｘ回 肝内侵犯范围、肿瘤直径、组织类型及ＴＡＣＥ次数有显著意义（Ｐ〈０．０５）。Ｋａｐｌａｎ－Ｍｅｉｅｒ法计算累积中位生存期为４５个月，１￣５年生存率分别为：７７．０６％、６３．３１％、５１．６９％、２３．１９％、１４．５９％。单纯ＴＡＣＥ组总的生存率，长于手术＋ＴＡＣＥ组（Ｐ〈０．０５）。结论 多因素分析和单因素分析均包含了肿瘤在肝内侵犯范围和肿瘤直径两项因素，说明此两项指标是影响原发性肝癌多模式治疗预后的重要因素。
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| 关 键 词： | 原发性肝癌 介入疗法 多模式治疗 生存率 疗效 |
| 文章编号： | 1003-3289(2000)11-0930-03 |
| 收稿时间： | 2000/7/26 0:00:00 |
| 修稿时间： | 2000年7月26日 |
A Prognostic Index of the Survival of Patients with Primary Liver Cancer af ter
Multimodality Treatment Including Transcatheter Arterial Chemoembolization |
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| LI Huai,ZENG Hui-ying,YANG Ling,LIU De-zhong,JIANG Wen-hao,LI Chen-rui,SHI Zhong-hua and ZHOU Chun-wu.A Prognostic Index of the Survival of Patients with Primary Liver Cancer af ter
Multimodality Treatment Including Transcatheter Arterial Chemoembolization[J].Chinese Journal of Medical Imaging Technology,2000,16(11):930-932. |
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| Authors: | LI Huai ZENG Hui-ying YANG Ling LIU De-zhong JIANG Wen-hao LI Chen-rui SHI Zhong-hua and ZHOU Chun-wu |
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| Institution: | Department of Diagnostic Radiology , Cancer Hospital , Chinese Academy of Medical Sciences , Peking
Union Medical College , Beijing 100021 , China;Department of Diagnostic Radiology , Cancer Hospital , Chinese Academy of Medical Sciences , Peking
Union Medical College , Beijing 100021 , China;Department of Diagnostic Radiology , Cancer Hospital , Chinese Academy of Medical Sciences , Peking
Union Medical College , Beijing 100021 , China;Department of Diagnostic Radiology , Cancer Hospital , Chinese Academy of Medical Sciences , Peking
Union Medical College , Beijing 100021 , China;Department of Diagnostic Radiology , Cancer Hospital , Chinese Academy of Medical Sciences , Peking
Union Medical College , Beijing 100021 , China;Department of Diagnostic Radiology , Cancer Hospital , Chinese Academy of Medical Sciences , Peking
Union Medical College , Beijing 100021 , China;Department of Diagnostic Radiology , Cancer Hospital , Chinese Academy of Medical Sciences , Peking
Union Medical College , Beijing 100021 , China;Department of Diagnostic Radiology , Cancer Hospital , Chinese Academy of Medical Sciences , Peking
Union Medical College , Beijing 100021 , China |
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| Abstract: | |
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| Keywords: | Primary liver cancer Interventional therapy Multimodality treatment Cox's hazard proportional model Survival rate |
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