摘要
目的:探讨肝动脉栓塞化疗(TACE)联合多电极射频治疗(RFA)中晚期原发性肝癌的临床疗效。方法:237例单发肿瘤直径5～8cm的中晚期原发性肝癌患者分为单纯RFA组69例和TACE联合RFA组168例,RFA治疗后2周通过超声造影对两组治疗效果进行评估。结果:TACE联合RFA治疗的168例患者中超声造影显示91例(53%)始终无增强,呈边界清楚的低回声,诊断肿瘤完全灭活;77例表现为边缘部分区域的结节状、月牙状或不规则形增强区。而单纯RFA治疗的69例患者中超声造影显示23例(33%)肿瘤完全灭活。结论:TACE联合RFA治疗中晚期原发性肝癌比单纯RFA治疗的疗效更好。
Objective：To evaluate clinical efficacy of transcatheter arterial chemoembolazition sequentially combined radiofrequency ablation in the treatment of advanced primary lier cancer. Methods：Two hundred and thirty-seven cases with single advanced primary liver cancer（5-8cm） were divided into RFA group（ n = 69 ） and RFA combined with TACE group（ n = 168）. The efficacy of the two groups through contrast-enhanced ultrasound were evaluated two weeks later. Results：According the imagement of contrast-enhanced ultrasound,the complete necrosis rate of tumor was 33% （23/69） in RFA,but it was 53% （91/169） in RFA combined with TACE group. Conclusion：Better therapeutic efficacy is expected by RFA combined with TACE in advanced primary liver cancer.
出处
《临床肿瘤学杂志》
CAS
2008年第2期147-149,共3页
Chinese Clinical Oncology
关键词
原发性肝癌
射频
肝动脉栓塞化疗
超声造影
Primary liver cancer
Radiofrequency ablation
Transcatheter arterial chemoebolazition
Contrast-enhanced ultrasound
