[1]隋守光,路建宽,吴淦春,等.TACE联合射频消融治疗肝细胞癌肾上腺转移的效果及预后 [J].介入放射学杂志,2019,28(09):837-841.
 SUI Shouguang,LU Jiankuan,WU Ganchun,et al.TACE combined with RFA for adrenal metastasis from HCC: curative effect and prognosis[J].journal interventional radiology,2019,28(09):837-841.
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TACE联合射频消融治疗肝细胞癌肾上腺转移的效果及预后
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
28
期数:
2019年09期
页码:
837-841
栏目:
肿瘤介入
出版日期:
2019-09-25

文章信息/Info

Title:
TACE combined with RFA for adrenal metastasis from HCC: curative effect and prognosis
作者:
隋守光 路建宽 吴淦春 李 聪 王明鑫
Author(s):
SUI Shouguang LU Jiankuan WU Ganchun LI CongWANG Mingxin.
Department of Vascular Intervention, Shengli Oilfield Central Hospital, Dongying, Shandong Province 257034, China
关键词:
【关键词】 动脉化疗栓塞术 射频消融术 肝细胞癌 肾上腺转移 预后
文献标志码:
A
摘要:
【摘要】 目的 探究TACE联合射频消融(RFA)治疗肝细胞癌肾上腺转移的效果及预后。方法 选择2002年2月至2017年3月就诊的112例肝细胞癌肾上腺转移患者作为研究对象。根据治疗方案不同将其分为TACE、RFA联合组(n=70)和TACE组(n=42)。比较两组治疗效果、不良反应及并发症发生率、预后情况。结果 联合组患者60例(85.7%)肿瘤及边缘无强化,且肿瘤缩小;10例(14.3%)肿瘤大小无明显变化,但肿瘤边缘强化。TACE组患者24例(57.1%)肿瘤得到完全控制;12例(28.6%)肿瘤大小无明显变化,但肿瘤边缘强化;6例(14.3%)肿瘤明显变大,且肿瘤边缘明显强化。两组患者肿瘤控制情况比较,差异有统计学意义(P<0.05)。联合组患者不良反应及并发症发生率均高于TACE组,但差异均无统计学意义(P均>0.05)。联合组患者1、2、3年生存率分别为91.4%(64/70)、68.6%(48/70)和62.9%(44/70),均高于TACE组(P均>0.05)。联合组平均生存时间为29.23(95%CI:26.9~31.5)个月,TACE组平均生存时间为22.5(95%CI:18.9~26.0)个月,差异有统计学意义(P<0.05)。结论 联合RFA治疗肝细胞癌肾上腺转移可以更好地控制肿瘤,延长患者生存时间。虽然联合RFA治疗存在更多的并发症,但经对症处理均可缓解。

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备注/Memo

备注/Memo:
(收稿日期:2019-01-08)

(本文编辑:俞瑞纲)
更新日期/Last Update: 2019-09-24