摘要
目的 分析数字减影血管造影(DSA)表现与肝癌患者肝动脉化疗栓塞术(TACE)后钙、磷离子浓度及疗效的相关性。方法 收集62例肝癌患者临床资料。所有患者均实施TACE治疗。根据患者疗效分组:疗效良好的为良好组(49例),疗效不良的为不良组(13例)。比较两组血清钙离子、磷离子浓度,分析血清钙离子、磷离子浓度与疗效的关系。另外,依照患者DSA表现分为富血供组(51例)和非富血供组(11例)。比较两组血清钙离子、磷离子浓度及疗效良好率。结果 不良组钙离子、磷离子浓度均高于良好组,差异显著(P<0.05)。血清钙离子、磷离子浓度与TACE术后疗效呈显著负相关关系(P<0.05)。非富血供组血清钙离子、磷离子浓度均高于富血供组,差异显著(P<0.05)。富血供组疗效良好率(79.07%)优于非富血供组(50.00%),差异显著(P<0.05)。结论 肝癌患者TACE后血清钙、磷离子浓度与疗效呈显著负相关关系。肝癌患者DSA表现可能与TACE后血清钙、磷离子浓度有关。
Objective To analyze the correlation between the manifestations of digital subtraction angiography(DSA)and the concentration and efficacy of calcium and phosphorus ions after hepatic arterial chemoembolization(TACE)in patients with liver cancer.Methods Methods Clinical data of 62 patients with liver cancer were collected.All patients were treated with TACE.According to the curative effect of the patients,the patients with good curative effect were in the good group(49 cases),and the patients with poor curative effect were in the bad group(13 cases).The serum concentrations of calcium and phosphorus were compared between the 2 groups,and the relationship between the serum concentrations of calcium and phosphorus and the curative effect was analyzed.In addition,according to the manifestations of DSA,the patients were divided into rich blood supply group(51 cases)and non-rich blood supply group(11 cases).The concentration of serum calcium ion and phosphorus ion and the rate of good curative effect were compared between the 2 groups.Results The concentrations of calcium ion and phosphorus ion in bad group were higher than those in good group,the difference was significant(P<0.05).There was a significant negative correlation between serum calcium ion and phosphorus ion concentration and postoperative efficacy of TACE(P<0.05).The serum concentrations of calcium and phosphorus ions in non-rich blood supply group were higher than those in rich blood supply group,and the differences were significant(P<0.05).The good curative effect rate of the rich blood supply group(79.07%)was better than that of the non-rich blood supply group(50.00%),and the difference was significant(P<0.05).Conclusion There is a significant negative correlation between serum calcium and phosphorus ion concentration and therapeutic effect in patients with liver cancer after TACE.The expression of DSA in patients with liver cancer may be related to serum calcium and phosphorus ion concentration after TACE.
作者
郑海霞
崔巍
陈凯
ZHENG Haixia;CUI Wei;CHEN Kai(Kaifeng People's Hospital,Kaifeng,475000)
出处
《实用癌症杂志》
2025年第7期1166-1169,共4页
The Practical Journal of Cancer
关键词
肝癌
DSA
肝动脉化疗栓塞术
钙离子
磷离子
疗效
相关性
Liver cancer
DSA
Hepatic arterial chemoembolization
Calcium ion
Phosphorus ion
Curative effect
Correlation
