摘要
目的 探讨小肝癌的介入治疗效果和影响因素。方法 用介入法治疗 42例小肝癌 ,并用COX回归模型对其进行生存分析。结果 ① 42例小肝癌肝动脉造影显示 2 6例肿瘤血管丰富 ,37例有肿瘤染色 ,其中 34例为结节状染色。②用Kaplan Meier法计算 42例小肝癌介入治疗后的 1,3 ,5年生存率分别为 88% ( 37/ 42 ) ,74% ( 31/ 42 ) ,5 1% ( 2 1/ 42 )。③Cox回归分析显示临床分期、分型和肿瘤灶内碘油沉积情况显著影响小肝癌的介入疗效。结论 ①小肝癌的诊断依据除肿瘤血管外 ,最重要的是结节状肿瘤染色。②小肝癌的介入疗效显著 。
Purpose To investigate the curative effect and influential factors of SHCC treated by interventional therapy. Methods Forty\|two patients with SHCC were treated by interventional therapy Some possible prognostic factors were analysed with Cox proportional hazard regression model. Results ①Hepatic arteriographic manifestations:26 of 42 cases SHCC revealed rich tumor vessels,37 tumor stain including 34 with nodular stain.②The overall 1,3,5 year survival rates of SHCC using Kaplan\|Meier method were 88%(37/42),74%(31/42),51%(21/42),respectively.③Clinical staging and typing of the patients,and accumulation of Lipiodol within the tumor obviously influenced interventional effects of SHCC. Conclusions ①The most important diagnostic angiographic sign of SHCC is tumor staining,besides tumor vessels.②Interventional therapy of SHCC has an ideal effect and should be an important nonoperable curative method. [
出处
《中国医学影像技术》
CSCD
北大核心
2000年第11期925-927,共3页
Chinese Journal of Medical Imaging Technology
基金
国家"九五"科技攻关项目 !(96 90 7 0 3 0 1)
关键词
小肝癌
栓塞治疗
影响因素
介入疗法
Small hepatocellular carcinoma/therapy
Embolization,therapeutic
