[1]刘嵘,王建华,颜志平,等.原发性肝癌综合介入治疗后存活５年以上５６例患者临床分析[J].介入放射学杂志,2007,(03):155.
　LIU Rong,WANG Jian-hua,YAN Zhi-ping,et al.Clinical analysis of５６cases of primary liver cancer of over５years survival after comprehensive interventional therapy[J].journal interventional radiology,2007,(03):155.
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原发性肝癌综合介入治疗后存活 ５ 年以上 ５６ 例患者临床分析()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2007年03期
页码:
155
栏目:
肿瘤介入
出版日期:
2007-03-15

文章信息/Info

Title:
Clinical analysis of５６cases of primary liver cancer of over５years survival after comprehensive interventional therapy
作者:
刘嵘; 王建华; 颜志平; 等
２０００３２上海复旦大学附属中山医院放射科
Author(s):
LIU Rong; WANG Jian-hua; YAN Zhi-ping; CHENG Jie-min; QIAN Cheng; GONG Gao-quan; LIU Qing-xin; CHEN Yi; LUO Jian-jun．
Department of Radiology，Zhongshan Hospital，Fudan University，Shanghai２０００３２，China
关键词:
肝肿瘤; 化疗栓塞; 综合性介入治疗; 远期疗效评价
分类号:
R７３５.７
文献标志码:
A
摘要:
目的分析有关原发性肝癌综合性介入治疗远期疗效的关键因素。方法回顾性分析５６例经综合介入治疗后存活５年以上的肝癌患者的临床治疗和随访资料。结果介入治疗前患者肿瘤分期Ⅰ期２０例，Ⅱ期３５例，Ⅲ期１例，肝功能分级Child A级３６例，B级２０例，C级０例。单发病灶３２例，多发病灶２４例，弥漫型０例。肿瘤直径≤３cm、３～５cm、５～１０cm和＞１０cm者分别为１０、２０、１９和７例。肝内原发肿瘤３３例（５８．９％）采用TACE治疗，２３例（４１．１％）采用TACE联合其他治疗，其中联合PEI治疗１１例，联合射频治疗４例，联合外放疗１例；联合Ⅱ期手术切除７例。随访期间，对２４例肝内复发患者和１７例远处转移患者行相应治疗，２０例次还行并发症的介入治疗。所有患者均存活５年以上，其中３例存活１０年以上。结论肿瘤分期、肝功能状况、治疗中采用规范TACE治疗、TACE联合其他治疗、肿瘤复发和转移治疗以及介入并发症的治疗是提高肝癌综合性介入治疗远期疗效的关键因素。

参考文献/References:

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［７］吴沛宏，张福君，赵明，等．肝动脉栓塞化疗联合CT导向RFA术治疗中、晚期肝癌的评价［J］．中华放射学杂志，２００３，３７：９０１-９０４．
［８］龚高全，王小林，周康荣，等．肝癌伴门静脉癌栓的金属内支架治疗的初步研究［J］．临床放射学杂志，２００３，２２：４９８-５００．

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备注/Memo

备注/Memo:
收稿日期：２００６-１２-１８
更新日期/Last Update: 2007-03-15