摘要
目的探讨射频消融术后联合肝动脉化疗栓塞对肝癌的治疗效果。方法25例肝癌患者共34个瘤灶,中等大小肿瘤(3 cm^5 cm)9个,大肿瘤(>5.1 cm)25个。射频消融术后2~10周行肝动脉化疗栓塞术。治疗效果采用增强CT扫描和临床随访评估。结果射频消融术后CT扫描见治疗区仍有残留癌灶。化疗栓塞后CT扫描见大部分残留癌灶碘油沉积良好。16例患者AFP转阴或明显下降。24例获随访,累计生存率>1年(87.9%),>2年(70.8%)。结论射频消融术后联合肝动脉化疗栓塞是治疗肝癌的有效方法。
Objective To evaluate the therapeutic efficacy of transcatheter artery chemo embolization （TACE） after radiofrequency ablation（RFA） for hepatocellular carcinoma（HCC）. Methods A total of 25 cases of HCC with 34 nodules [ 9 intermediate nodules （ 3 - 5cm ） and 25 large nodules（ 〉 5.1 cm ） ] were observed. The patients received TACE within 2 - 10 weeks after RFA. The therapeutic efficacy was evaluated by enhanced CT scan and clinical follow - up . Results Residual nodules were found in the treated areas after RFA by enhanced CT scan . Most of the residual nodules were well filled with lipiodol after TACE . AFP turned negative or decreased obviously in 16 cases. The follow - up result showed that one - year and two - year survival rates were 87.9% and 70.8% respectively . Conclusion The combined therapy of RFA with TACE is an effective method for the treatment of HCC.
出处
《现代肿瘤医学》
CAS
2006年第1期69-71,共3页
Journal of Modern Oncology
基金
国家教委回国人员启动基金资助项目(20010201-0312)
关键词
肝细胞肝癌
射频消融
化疗栓塞
hepatocellular carcinoma
radiofrequency ablation
chemo embolization
