摘要
目的:观察肝动脉化疗栓塞术加体外高频热疗对原发性肝癌的治疗效果和术后的各种反应。材料与方法:原发性肝癌78例(男62例,女16例),随机分为肝动脉化疗栓塞术加体外高频热疗组,(综合组37例)及单纯肝动脉化疗栓塞组(TACE组41例)。对78例先行数字减影造影(DSA)然后行TACE。综合组手术后第2天行高频热疗每4天一次,5次为一疗程,最少一个疗程,最多2个疗程。TACE每月两次以上纳入观察对象,对两组患者术前、术后的症状、体征及肿瘤大小进行比较。随访1、2、3年以上生存期。结果:综合组缓解率1年、2年、3年生存率(75.6%、54%、40.5%)患者高于TACE组相应指标(53.6%、36.5%、29%)P<0.05。结论:肝动脉化疗栓塞术加体外高频热疗对原发性肝癌的疗效大于单纯肝动脉化疗栓塞术,有助于提高临床疗效。
Purpose： To study the effects of extemal high frequency thermo- therapeutic combined with transcatheter arterial embolization （TACE） therapy in the treatment of hepatoeellular carcinoma. Materials and Methods： Seventy-eight cases of hepatocellular carcinoma were divided into two groups randomly, combination group （37 cases）, and （TACE） group （41 cases）, first, make the seventy - eight case DSA, and risen do TACE. In combination group, external high frequency thermo - therapeutic were precutaneously introduced in two days after the operation being on in combination group. Once four days and five times for each period of treatment. It is one at least and two at most for the treatmemt. In TACE group, once a month and twice or more as to study the cases. Compare the cases of the two groups with their symptom, sign as well as the size of turnout. Follow up the case, 1 year, 2 year, 3 year survival period. Results： The parameters of RR, 1 year, 2 year, 3 year survival rates of combination group （75.6%. 54%, 40.5%） were significandy higher titan those of TACE group （53.6%, 36.5%, 29%）, P 〈 0.05. Conclusion： To the cases of hepatocellular carcinoma with extemal high frequency thermo- therapeuticis more effective than single HAE therapy. It is helpful to improve the clinical curative effect.
出处
《现代医用影像学》
2005年第4期157-159,共3页
Modern Medical Imageology
