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ID:30941936
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时间:2019-01-04
《动脉热灌注化疗栓塞治疗术后多灶性复发性原发性肝癌》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
1、动脉热灌注化疗栓塞治疗术后多灶性复发性原发性肝癌王振军胡鸿涛黎海亮(通讯作者)郭晨阳骆俊朋(郑州大学附属肿瘤医院/河南省肿瘤医院放射介入科河南郑州450003)【摘要】目的:探讨动脉热灌注化疗栓塞治疗术后多灶性复发的原发性肝癌的临床疗效。方法:对48例原发性肝癌行根治性切除术后出现多灶性肝内复发的患者行动脉热灌注加动脉化疗栓塞治疗,统计患者治疗前后肝肾功能变化、治疗有效率及患者牛存期。结果:48例患者中客观有效率(CR+PR)为75%(36/48),共总有效率(CR+PR+SD)为87.5%(42/48)<>中位牛存时间为18.0个月(95%置
2、信区间[CI]为16・24个月),无严重毒副反应发生。结论:经肝动脉热灌注化疗栓塞治疗术后多灶性复发的原发性肝癌可明显延长患者牛存期,减少介入诊疗次数。【关键词】动脉热灌注;化疗栓塞;多灶性复发性肝癌【中图分类号】R730.5【文献标识码】A【文章编号】2095-1752(2015)18-0025-02Thetreatmentoftrans-arterialthermochemotherapyinfusioncombinedwithchemoembolizationforpatientswithmultipleintrahepatichepat
3、ocellularcarcinomasaftertheradicalcuresugereyWangZhenjun,HuHongtao,LiHailiang,GuoChenyang,LuoJunpengTheAffiliatedCancerHospitalofZhengzhouUniversity/HenanCancerHospital,HenanProvince,Zhengzhou450008,China[Abstract]ObjectiveToresearchtheeffectoftrans・arterialthermochemotherap
4、yinfusioncombinedwithchemoembolization(TACE)forpatientswithmultipleintrahepatichepatocellularcarcinomasaftertheradicalcuresurgery.MethodsForty-eightpatientswithmultipleintrahepatichepatocellularcarcinomasaftertheradicalcuresurgerywerereceivedtrans-arterialthermochemotherapyi
5、nfusionandTACE.Thechangesoftheliverfunction,renalfunctionbeforeandafterthetreatmentwereobserved.Thetherapeuticeffectandthesurvivaltimewererecorded.ResultsTheobjectivelytherapeuticeffect(CR+PR)was75%andthetotaltherapeuticeffect(CR+PR+SD)was87.5%inallofthe48patients.Themedians
6、urvivalwas18months(95%Clwas16-24months)andtherewasnoseveretoxicityoccurreneeinallofpatientsduringandafterthetreatment・ConclusionUsingthemethodoftrans-arterialthermochemotherapyinfusioncombinedwithTACEtotreatthepatientswithmultipleintrahepatichepatocellularcarcinomascanprolon
7、gthesurvivaltimeofpatientsanddecreasethefrequencyoftreatment.【Keywords]Trans-arterialthermochemotherapyinfusion;Chemoembolization;Multipleintrahepatichepatocellularcarcinomas原发性肝癌是我国最主要的恶性肿瘤之一,针对适合手术治疗的肝癌患者,临床方面主要采用根治性肝切除手术为患者进行治疗,但因为受到肝癌多中心理论等相关因素的影响,对术后5年患者复发率进行统计,其数值高达60%
8、〜80%左右,觉到多数的复发癌患者都是肝内复发,而且多灶性肝内复发病灶的比例较高⑴,因此,对患者长期生存造成影响的是肝癌术后肝内复发,目前,肝癌复发该
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