[1]孟庆雯,李勇,胡宝山,等.经肝动脉化疗栓塞与射频消融和无水乙醇注入对大肝癌的疗效评价及预后分析[J].介入放射学杂志,2013,(08):646-649.
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经肝动脉化疗栓塞与射频消融和无水乙醇注入对大肝癌的疗效评价及预后分析 ()

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

卷:
期数:
2013年08期
页码:
646-649
栏目:
肿瘤介入
出版日期:
2013-08-30

文章信息/Info

Title:
ranscatheter arterial chemoembolization combined with radiofrequency ablation and percutaneous ethanol injection for large hepatocellular carcinoma: therapeutic evaluation and prognosis analysis
作者:
 孟庆雯李勇胡宝山邵培坚占美晓赵岩黄建文何旭陆骊工
Author(s):
MENG Qing?蛳 wen LI Yong HU Bao?蛳 shan SHAO Pei?蛳 jian ZHAN Mei?蛳 xiao ZHAO Yan HUANG Jian?蛳 wen HE Xu LU Li?蛳 gong.
 Department of Interventional Radiology, Guangdong Provincial People’s Hospital, Guangzhou 510080, China
关键词:
【关键词】 原发性大肝癌 肝动脉化疗栓塞术 射频消融 经皮无水乙醇注入
文献标志码:
A
摘要:
 【摘要】 目的 探讨肝动脉化疗栓塞(TACE)联合射频消融(RFA)及无水乙醇注入术(PEI)治疗原发性大肝癌的临床效果及预后情况。方法 选取2006年至2010年诊治的原发性大肝癌92例,其中15例行TACE联合RFA(Ⅰ组),29例行TACE联合PEI(Ⅱ组),21例行TACE、RFA联合PEI(Ⅲ组),仅行TACE 27例(Ⅳ组)。分析比较4组的临床疗效及总生存时间(OS),用COX比例风险模型分析预后因素。结果 4组相比,肿瘤缩小及肿瘤坏死率均有统计学意义(P = 0.008,P = 0.026);Ⅰ、Ⅱ、Ⅲ和Ⅳ组OS分别为18、14、20和10个月,差异有统计学意义(P = 0.000);多因素结果分析显示,门脉癌栓及术前AFP值是影响总生存时间的预后因素(P = 0.028,P = 0.031)。结论 TACE、RFA联合PEI治疗大肝癌与TACE联合RFA/PEI或TACE相比,可明显提高肿瘤缩小、坏死率,延长生存期。 

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备注/Memo

备注/Memo:
 (收稿日期:2013-03-27)
更新日期/Last Update: