摘要
目的：本研究探讨不能手术切除的中晚期肝癌行介入治疗后的再治疗方法。材料和方法：９２例中晚期肝癌患者行肝动脉栓塞（ＴＡＥ）治疗后其中５０例（甲组）获二期手术切除，另４２例（乙组）重复行ＴＡＥ治疗。对比观察两组的临床疗效。结果：甲组１、２年累计生存率分别为７１％和５０％，乙组１、２年累计生存率为７３％和４３％，二组间无显著差异。甲组ＯｋｕｄａＩ期患者的生存率优于乙组，而ＯｋｕｄａⅡ期患者的生存率乙组优于甲组。结论：中晚期肝癌行ＴＡＥ治疗后二期手术切除的必要性尚有待讨论，二期切除不能改善ＯｋｕｄａⅡ期患者的生存情况。
To study the alternative treatment of unresectable hepatocellular carcinoma(HCC)after TAE. Materials and methods:50 patients with unresectable HCC underwent secondary resection after TAE(Group A)and 42 patients with HCC were treated with repeated TAE only. The therapeutic results obtained in two groups were analyzed and compared.Results:The l-year,2-year cumulative survival rates of Group A were 71%and 5 0%respectively.However,the rate were 73%and 43%respectively for the patients in Group B. The differences were not statistically significant. The cumulative survival time in patients in Okuda's stage I of Group A were significantly longer than that of Group B. In contrast,the survival rate of patients in Okuda's stage I of Group A were less than that of Group B.Conclusion:These results indicate that further study was necessary to assess the value of the sec ondary surgery after TAE for unresctable HCC. This kind of treatment can not offer more favorable results in patiehts with Okuda's stage I as compared with repeated TAE.
出处
《放射学实践》
北大核心
1996年第2期59-62,共4页
Radiologic Practice
