摘要
目的：探讨术前肝动脉化疗检测栓塞对肝癌术后复发影响。方法：６７例原发性肝患者随机分为两组，一组３２例，采取外科手术前肝动脉化疗栓塞。另一组３５例，为单纯外科手术，随访复发时间及生存率。结果：肝动脉化疗栓塞后肿瘤最大直径平均下降３．６５ｃｍ（３６．６％）ＡＦＰ平均下降７７．３％。２年复发率，术前ＴＡＣＥ组有１１例，单纯手术组有１４例，平均复发时间７．０９±３．２７个月４．４９±３．２９个月。结论；
Objective:To prevent postoperative recurrence of liver cancer.Methods:Of 67 patients with primary hepatic carcinoma, 32 cases were employed preparative transcatheter hepatic arterial chemoembolization (preoperative TACE group);other 35 cases were operated alone (operative group).All patients were followed up for 2 years.The recurrence time and rate were observed.Result:After TACE,the mean maximum tumor diameter was reduced by 3.56cm (36.6 %), the value of AFP was reduced 77,3% Two year recurrence rate:11 patients (34.4%) in TACE group,14 cases (405) in operative group,(P>0.05).The relapsing time between operation and recurrence were 7,08±3.27 months and 4.29±3.29 months on TACE and operation group respectively OP<0.05).Conclusion: Preoperative TACE has important significance to prolong postoperative recurrence time and to raise survival rat
关键词
原发性
肝癌
肝动脉化疗栓塞
手术复发
primaiy
hepatic carcinoma
hepatic arterial chemoembolization
operation recurrence.
