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射频消融治疗化疗栓塞后肝癌
引用本文:纪东华,王峰,李城,刘永晟.射频消融治疗化疗栓塞后肝癌[J].介入放射学杂志,2007,16(7):468-471.
作者姓名:纪东华  王峰  李城  刘永晟
作者单位:116011,大连医科大学第一附属医院介入治疗科
摘    要:目的 评价射频消融治疗化疗栓塞后肝癌的临床疗效.方法 97例经病理证实的原发性肝癌患者在经过多次栓塞后仍有肿瘤残余,且均存在无法再栓塞的困难.所有患者均予CT导引下的肿瘤射频消融术.术后监测AFP的动态变化及肝脏CT或MRI的结果来评价疗效.结果 93例(96%)患者在12个月随访内无肿瘤复发征象,仅有4例患者出现了局灶复发和远处转移.结论 化疗栓塞术结合射频消融术是治疗肝癌的一种有效的联合治疗手段.

关 键 词:射频消融术  化疗栓塞术  肝癌  射频消融治疗  化疗栓塞术  治疗肝癌  chemoembolization  liver  cancer  治疗手段  结合  远处转移  肿瘤复发  局灶  征象  随访  评价疗效  结果  肝脏  态变化  术后监测  射频消融术  导引  原发性肝癌患者
文章编号:1008-794X(2007)-07-0468-04
收稿时间:2006-12-18
修稿时间:2006-12-18

Radio-frequency ablation for the liver cancer after chemoembolization
JI Dong-hua,WANG Feng,LI Cheng,LIU Yong-cheng.Radio-frequency ablation for the liver cancer after chemoembolization[J].Journal of Interventional Radiology,2007,16(7):468-471.
Authors:JI Dong-hua  WANG Feng  LI Cheng  LIU Yong-cheng
Institution:Interventional Treatment Department of The First Affiliated Hospital of Dalian Medical University, Dalian 116011, China
Abstract:Objective To investigate the clinical efficacy of radio-frequency ablation in the treatment of liver cancer undergone TACE(transarterial chemo-embolization). Methods 97 cases of primary liver cancer confirmed pathologically underwent embolization for several times. Because of cancer remnants and unable to be further embolization, they were treated by RFA under CT guidance. Levels of AFP, the features of CTA or MRI of liver were all utilized for investigation of the efficiencies pre and post RFA. Results 96% of 93 cases were followed up for 1 year without tumor recurrence, but other 4 cases showed local recurrence and metastasis. Conclusion TACE combined with RFA might be more effective in the treatment of liver cancer.
Keywords:Radio-frequency ablation  Chemoembolization  Liver cancer
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