[1]沈海洋,杨光,刘瑞宝,等.肝右叶前、后段原发性肝癌动脉化疗栓塞术后近期疗效比较[J].介入放射学杂志,2010,(05):382.
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肝右叶前、后段原发性肝癌动脉化疗栓塞术后近期疗效比较()

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

卷:
期数:
2010年05期
页码:
382
栏目:
肿瘤介入
出版日期:
2010-05-15

文章信息/Info

Title:
Short-term effects of TACE for primary hepatocellular carcinoma of the right hepatic lobe:a comparison between the lesions in anterior segments and the lesions in posterior segments
作者:
沈海洋杨光刘瑞宝
150081哈尔滨医科大学附属肿瘤医院介入科
Author(s):
SHEN Hai-yangYANG GuangLIU Rui-baoHE Dong-fengYANG Yi SUN Hou-binWANG Hui-wen
,Affiliated Tumor Hospital of Haerbin Medical University,Haerbin150081,China
关键词:
肝细胞癌经导管动脉化疗栓塞肝段近期疗效
分类号:
R735.7
摘要:
目的分析位于肝右叶前、后段原发性肝癌(HCC)患者在TACE治疗后病灶近期疗效的差异及意义。方法回顾性分析我院2008年3月-2009年1月首次行肝动脉化疗栓塞术(TACE)治疗283例HCC患者,将其中按影像学检查符合筛选标准58例(83个病灶)分两组。A组:共23例,病灶位于肝右叶前段(Ⅴ、Ⅷ段);B组:共35例,病灶位于肝右后段(Ⅵ、Ⅶ段)。分析经TACE治疗前1周内及治疗后1、3个月复查的CT、MRI 资料,按照RECIST标准比较两组病灶近期疗效的差异。结果治疗1个月后A、B两组的CR、PR、SD、PD分别为0、4.3%、87.0%、8.7%和0、22.9%、68.6%、8.6%,有效率OR(CR+PR)比较差异无统计学意义(P=0.073);3个月后两组的CR、PR、SD、PD分别为0、8.7%、73.9%、17.4%和0、34.3%、62.9%、2.9%,OR比较差异有统计学意义(P=0.031);两组病灶大小随时间变化,后段组比前段组缩小明显(F=7.873,P<0.05)。结论肝右叶后段HCC经TACE治疗后短期疗效优于前段,对于不同位置病灶的综合治疗有重要指导价值。

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备注/Memo

备注/Memo:
收稿日期:2009-11-02
更新日期/Last Update: 2010-05-15