[1]罗中华,秦 勉,张学昕,等.原发性肝癌合并下腔静脉及右心房癌栓的动脉内化疗栓塞治疗[J].介入放射学杂志,2012,(12):1035-1038.
　LUO Zhong? hua,QIN Mian,ZHANG Xue? xin,et al. Transcatheter arterial chemoembolization for hepatocellular carcinoma complicated by tumor thrombus in inferior vena cava and right atrium[J].journal interventional radiology,2012,(12):1035-1038.
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原发性肝癌合并下腔静脉及右心房癌栓的动脉内化疗栓塞治疗 ()

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

卷:
期数:
2012年12期
页码:
1035-1038
栏目:
临床研究
出版日期:
2012-12-25

文章信息/Info

Title:
 Transcatheter arterial chemoembolization for hepatocellular carcinoma complicated by tumor thrombus in inferior vena cava and right atrium
作者:
 罗中华;  秦 勉;  张学昕;  张 伟;  贺洪德;  孙立军;  宦 怡
Author(s):
 LUO Zhong?蛳 hua;  QIN Mian;  ZHANG Xue?蛳 xin;  ZHANG Wei;  HE Hong?蛳 de;  SUN Li?蛳 jun;  HUAN Yi.
 Department of Radiology， Xijing Hospital， Fourth Military Medical University， Xi’an 710032， China
关键词:
 ; 【关键词】 肝癌;  肝动脉栓塞化疗;  下腔静脉
文献标志码:
A
摘要:
 【摘要】 目的 评价肝动脉化疗栓塞（TACE）治疗原发性肝癌合并下腔静脉及右心房癌栓的可行性。方法 回顾性分析经肝动脉化疗栓塞治疗16例原发性肝癌合并下腔静脉及右心房癌栓的患者。在行氟尿嘧啶、丝裂霉素、吡柔比星动脉灌注化疗后用与吡柔比星、碘油和PVA颗粒（直径300 μm）混合物进行肿瘤供血动脉栓塞治疗。结果 癌栓治疗有效患者11例（占68.7％，11/16），其中位生存期为13.5个月（7.5 ~ 26个月）。整组的中位生存期为12个月（范围2.6 ~ 26个月）。5例癌栓无反应组（癌栓对治疗无反应）的中生存期为3.3个月（2.6 ~ 12.5个月）（P < 0.01）。所有患者无严重栓塞后并发症发生。结论 肝动脉化疗栓塞治疗原发性肝癌合并下腔静脉及右心房癌栓是安全，有效的方法。

参考文献/References:

 ［1］ Zeng ZC， Jia F， Tang ZY， et al. A comparison of treatment combinations with and without radiotherapy for hepatocellular carcinoma with portal vein and/or inferior vena cava tumor thrombus［J］. Int J Radiat Oncol Biol Phys， 2005， 61： 432 ?蛳 443.
［2］ Okada S. How to manage hepatic vein tumour thrombus in hepatocellular carcinoma［J］. J Gastroenterol Hepatol， 2000， 15： 346 ?蛳 348.
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［4］ Quick AM， Lo SS， Mayr N， et al. Radiation therapy for intrahepatic malignancies［J］. Expert Rev Anticancer Ther， 2009， 9： 1511 ?蛳 1521.
［5］ Bruix J， Sherman M， American Association for the Study of Liver Diseases. Management of hepatocellular carcinoma： an update［J］. Hepatology， 2011， 53： 1020 ?蛳 1022.
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备注/Memo

备注/Memo:
 （收稿日期：２０１2-０8-17）
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