经皮微波固化联合肝动脉化疗栓塞治疗碘油存留较少的原发性肝癌

目的观察经皮微波固化治疗联合肝动脉化疗栓塞治疗碘油存留较少的原发性肝癌的疗效。方法60例曾经进行肝动脉化疗栓塞且碘油存留较少肝癌的患者随机分为两组。联合治疗组30例患者在进行肝动脉化疗栓塞后给予经皮穿刺微波固化治疗,对照组30例患者仅行肝动脉化疗栓塞治疗。结果联合治疗组和对照组的近期有效率分别为70%和53.3%,联合治疗组没有增加严重并发症。结论经皮微波固化联合肝动脉化疗栓塞治疗可提高碘油存留较少的原发性肝癌的近期疗效。

Percutaneous Microwave Coagulation Combined with Transcather Hepatic Arterial Chemoembolization in the Treatment of Primary Liver Cancer with Poor Lipiodol Distribution

Objective To investigate the therapeutic effect of percutaneous microwave coagulation combined with transcather hepatic arterial chemoembolization(TACE) in the treatment of primary liver cancer with poor lipiodol distribution.Methods Sixty cases having been treated by TACE were randomly divided into two groups.30 patients (combination group) were treated by percutaneous microwave coagulation therapy after TACE.The other 30 patients (control group) were treated by TACE alone.Results The response rates(CR+PR)in the combination group and control group were 70% and 53.3% respectively.There were no additional severe complications in combination group.Conclusion The treatment of percutaneous microwave coagulation combined with TACE is safe and helpful to increase response rate for primary liver cancer patients with poor lipiodol distribution.