摘要
目的探讨肝动脉化疗栓塞术(TACE)联合微波凝固(PMCT)治疗小肝癌的疗效。方法 25例原发性肝癌患者,共28个病灶,直径均≤3cm。先予行TACE,2～4周后在CT引导下行PMCT。结果治疗后予穿刺活检及CT扫描,显示28个病灶完全性坏死,其中25个病灶周边正常肝实质有约3～5mm完整环状坏死,3个病灶周边正常肝实质环状坏死不完整。20例AFP升高者,治疗后4周内AFP降至正常水平。随访6～24个月,均未见复发。随访期内患者均存活。结论 TACE联合PMCT治疗小肝癌,疗效确切、安全、无严重并发症,是治疗小肝癌较理想的综合治疗方法。
Objective To explore the therapeutic efficacy of transcatheter arterial chemoembolization（TACE）in combination with percutaneous microwave coagulation therapy（PMCT）in the treatment of small hepatocellular carcinoma.Methods 25 patients with 28 hepatocellular carcinoma nodules which were less than 3 cm in diameter were treated with TACE and continued to perform CT-guided PMCT within 2-4 weeks. Results By biopsies and enhanced CT scans, complete necrosis of the tumor and the noncancerous area about 3 -5 mm surrounding was obtained in 25 nodules, incomplete necrosis of the parenchyma surrounding in 3 nodules. Serum AFP level returned to normal level after treatment 4 weeks in 20 patients who originally had a high serum AFP level.The follow-up period was 6 -24 months and all patients remained alive.NO patient had a recurrence.Conclusion Therapy of TACE in combination with PMCT for small HCC is a safe, effective and perfect treatment without severe complications.
出处
《中国疗养医学》
2010年第9期836-838,共3页
Chinese Journal of Convalescent Medicine
关键词
肝细胞癌
肝动脉化疗栓塞术
微波凝固治疗
Hepatocellular carcinoma
Transcatheter arterial chemoembolization
Percutaneous microwave coagulation therapy
