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原发性肝癌术后预防性TACE的意义(附433例病例随访)
引用本文:刘鹏飞,刘荣华,徐荷,吴孟超. 原发性肝癌术后预防性TACE的意义(附433例病例随访)[J]. 中华肝胆外科杂志, 2005, 11(2): 81-82
作者姓名:刘鹏飞  刘荣华  徐荷  吴孟超
作者单位:1. 200438,上海市,第二军区大学附属东方肝胆外科医院
2. 江西省泰和县人民医院普外科
3. 第二军区大学卫勤系流行病学教研室
摘    要:目的 通过对433例原发性肝癌病人术后的随访,探讨预防性 TACE在防止肝癌术后复发中的意义。方法 比较术后1~2个月内接受和未接受预防性 TACE病人不同时间段肝癌的复发率进行分析。结果 接受预防性 TACE 者术后 1 年内肿瘤复发率( 20 00%)低于未接受者(39 13%;P<0 05);术后1 年以上复发率无差异(P>0 05)。结论 术后 1 ~ 2 个月内行预防性TACE有助于减少1年以内的近期复发率,可作为常规的预防手段;它既无增加术后1年以上肝癌的较远期复发率之虞,也不能降低肝癌术后1年以上较远期的复发率。

关 键 词:术后 TACE 复发率 原发性肝癌 预防性 随访 病人 远期
修稿时间:2004-02-16

Significance of preventive TACE in primary liver cancer after operation
LIU Pengfei ,LIU Ronghua,XU He,et al.. Significance of preventive TACE in primary liver cancer after operation[J]. Chinese Journal of Hepatobiliary Surgery, 2005, 11(2): 81-82
Authors:LIU Pengfei   LIU Ronghua  XU He  et al.
Affiliation:LIU Pengfei *,LIU Ronghua,XU He,et al. * Eastern Hepatobiliary Surgery Hospital,the Second Military Medical University,Shanghai 200438,P. R. China
Abstract:Objective To investigate the changes in recurrent rate of primary liver cancer (PLC) after operation by preventive TACE. Methods A total of 433 cases of PLC were followed up after the tumor resection. Meanwhile, the recurrent rate of PLC was compared between the cases with preventive TACE and those without. Results The recurrent rate of PLC was significantly lower in the cases with preventive TACE than in those without within 1 year after the operation. Over 1 year, there was no marked difference in the recurrent rate between the 2 groups. Conclusions The preventive TACE can decrease the recurrent rate of PLC within 1 year after the tumor resection.
Keywords:Carcinoma   hepatocellular  TACE  Postoperative recurrent rate
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