摘要
目的 评价经动脉化疗栓塞(TACE)+经皮微波凝固(PMCT)相结合在肝癌治疗中的作用。方法 原发性肝癌25例(30个结节)行TACE+PMCT治疗,TACE治疗1~3次,PMCT治疗1~2次。结果 临床CT复查,所有术前强化的病灶动 脉期强化明显减弱或消失。6例患者再次血管造影表现为肿瘤血供明显减弱,20例表现为肿瘤血供消失。19例AFP升高的患者均出现AFP下降,14例达正常范围。未出现明显并发症。结论 TACE后行PMCT可明显提高肝癌治疗的疗效。
Objective Microwave coagulation was performed after occlusion of hepatic artery in clinical study to evaluate the role of this treatment for liver cancer. Methods 25 patients with liver cancer (30 noudles) were treated with PMCT after TACE. The TACE was performed 1-3 times and PMCT 1-2 times totally in every patient. Results The enhancement of contrast-enhanced CT scan in all the lesions which had undergone treatment reduced significantly or disappeared. Intratumoral blood flow decreased significantly in 6 patients and disap-pearedin 20 patients. In 19 patients with an elevated α-fetoprotein level, the level decreased in all patients and was normalized in 14. There were no significant side-effect. Conclusion PMCT after TACE can significantly promote the efficacy of liver cancer treatment.
出处
《实用肿瘤学杂志》
CAS
2003年第3期188-190,共3页
Practical Oncology Journal
基金
哈尔滨市科委基金(NO.2002AA9CS151-2)