摘要
目的探讨肝动脉化疗栓塞(TACE)联合CT引导射频消融(RFA)序贯治疗原发性中小肝癌的临床应用。方法对59例肝细胞性中小肝癌患者实施TACE联合CT引导RFA序贯治疗。结果 59例患者初次治疗,共80枚病灶,行TACE和RFA序贯治疗技术成功率100%。术后随访6～24个月,21例患者有病灶残余,再次行RFA或序贯治疗,3例再次联合放射性125I粒子植入治疗后,病灶控制良好。并发症有胆汁瘤合并胆道感染1例、门静脉分支血栓1例。结论 TACE联合CT引导RFA序贯治疗中小肝癌是一种微创、有效的方法,同时注意手术操作细节,对提高手术成功率,降低手术并发症有重要意义。
Objective To investigate the clinical application of sequential therapy with transarterial chemoembolization （TACE） and CT-guided radiofrequency ablation （RFA） in treating small or moderate sized hepatocellular carcinoma （HCC）. Methods A total of 59 patients with small or moderate sized HCC received sequential TACE and CT-guided RFA. The technical and clinical results were analyzed. Results A total of 80 hepatic lesions were detected in 59 patients. The technical success rate of sequential treatment with TACE and CT-guided RFA was 100%. Patients were followed up for 6 - 24 months. CT-guided RFA or sequential treatment was repeated in 21 patients because of residual lesions. Additional ^125I seed implantation was carried out in three patients, and the lesions were well controlled. Complications included biloma complicated by bile duct infection （n = 1） and portal vein branch thrombosis （n = 1）. Conclusion The sequential treatment with TACE and CT-guided RFA is an effective and mini-invasive therapeutic option for small or moderate sized HCC.（J Intervent Radiol, 2012, 21： 301-304）
出处
《介入放射学杂志》
CSCD
北大核心
2012年第4期301-304,共4页
Journal of Interventional Radiology
关键词
原发性肝癌
肝动脉化疗栓塞
射频消融
序贯治疗
primary hepatocellular carcinoma
transarterial chemoembolization
radiofrequency ablation
sequential treatment
