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肝动脉栓塞化疗联合射频及无水乙醇注射治疗中晚期肝癌的评价
引用本文:刘德鑫,李华东,李新丰,吕国荣,叶超平,李平. 肝动脉栓塞化疗联合射频及无水乙醇注射治疗中晚期肝癌的评价[J]. 介入放射学杂志, 2009, 0(5)
作者姓名:刘德鑫  李华东  李新丰  吕国荣  叶超平  李平
作者单位:1. 福建泉州福建医科大学附属第二医院放射科,362000
2. 福建泉州福建医科大学附属第二医院肝胆外科,362000
3. 福建泉州福建医科大学附属第二医院超声介入科,362000
摘    要:目的 探讨肝动脉化疗栓塞(TACE)联合射频消融(RFA)及无水乙醇注射(PEI)治疗中晚期肝癌的评价.方法 78例中晚期肝癌患者随机分为联合组(39例)和对照组(39例),联合组行序贯TACE→RFA+PEI→TACE治疗.对照组仅行TACE治疗2~5次.治疗1个月后全部病例复查肝脏彩色多普勒超声、CT,观察患者肿瘤缩小程度、甲胎蛋白水平变化和随访1、2年生存率.结果 联合组甲胎蛋白转阴率,肿瘤缩小率及1、2年生存率分别为81.3%、87.2%、97.4%、76.9%,明显高于对照组的56.3%、64.1%、79.5%、53.8%(P值均<0.05).结论 TACE联合RFA及PEI治疗中晚期肝癌安全有效.可明显改善疗效并延长生存期.

关 键 词:中晚期肝癌  肝动脉化疗栓塞  射频消融  无水乙醇

Evaluation of TACE combined with RFA and PEI in treating advanced hepatic carcinoma
LIU De-xin,LI Hua-dong,LI Xin-feng,LU Guo-rong,YE Chao-ping,LI Ping. Evaluation of TACE combined with RFA and PEI in treating advanced hepatic carcinoma[J]. Journal of Interventional Radiology, 2009, 0(5)
Authors:LIU De-xin  LI Hua-dong  LI Xin-feng  LU Guo-rong  YE Chao-ping  LI Ping
Abstract:Objective To assess the therapeutic value of transcatheter arterial chemoembolization(TACE) combined with radiofrequency ablation(RFA) and percutaneous ethanol injection(PEI) for the treatment of advanced hepatic carcinoma.Methods Seventy-eight patients with advanced hepatic carcinoma were randomly divided into combination group(n = 39) and control group(n = 39).Patients in the combination group received interventional managements in order of TACE,RFA + PEI and TACE,while those patients in the control group...
Keywords:advanced hepatic carcinoma  transcatheter arterial chemoembolization  radiofrequency ablation  ethanol  
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