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栓塞化疗合并注射无水乙醇治疗原发性肝癌(附112例报告)
Treatment of combined trans-arterial chemoenbolization and percutaneous ethanol injection for hepatocellular carcinoma-a report of 112 cases
【摘要】 目的探讨栓塞化疗合并瘤内注射无水乙醇治疗原发性肝癌(简称肝癌)的疗效。方法回顾性分析采用动脉插管栓塞化疗(TACE)与经皮注射无水乙醇(PEI)序贯治疗112例肝癌患者(研究组),并与同期病例相似的70例肝癌(对照组)单纯采用TACE治疗的疗效相比较。结果首次治疗后AFP下降有效率(CR+PR)研究组为68.8%,对照组为30.0%;肿瘤体积缩小率(CR+PR)研究组为78.6%,对照组为34.3%。第2疗程AFP下降有效率(CR+PR)研究组为77.8%,对照组为28%;肿瘤体积缩小率(CR+PR)研究组为80.5%,对照组为45.0%。以上两组间差异均有统计学意义(P均<0.05)。结论TACE合并PEI治疗肝癌可以提高疗效,是合理有效的治疗方法。
【Abstract】 Objective To investigate the efficacy of treatment of combined trans-arterial chemoembolizatin and percutaneous ethanol injection for hepatocarcinoma.Methods A retrospective analysis of 112 cases with hepatocarcinoma (studied group) received the sequent treatment of combined trans-arterial chemoembolization (TACE) and percutaneous ethanol injection (PEI),and comparing with 70 cases with hepatocarcinoma (control group) that received TACE only.Results After treating for the first time,with level of AFP declined,(CR+PR) rate of the studied group was 68.8% and that of control grouup was 30.0%,and the reduction in tumor size (CR+PR) of the studied group was 78.6% and that of control group was 34.3%.After second time treating ,with level of AFP declined,(CR+PR) rate was 77.8% in the studied group and 28.0% in control group,and the reduction in tumor size (CR+PR) was 80.5% in the studied group and 45.0% in control group.Conclusion TACE and PEI sequent therapy is an effective treatment for hepatocarcinoma.
【Key words】 Hepatocarcinoma; Trahs-arterial chemoembolization (TACE); Percutaneous ethanol injection (PEI); Treatment;
- 【文献出处】 广西医学 ,Guangxi Medical Journal , 编辑部邮箱 ,2005年12期
- 【分类号】R735.7
- 【被引频次】3
- 【下载频次】29