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射频消融联合肝动脉栓塞化疗及盐酸注射治疗肝癌
引用本文:常浩生,冯威健,杨绥冲,聂勇,王刚,黄建峰.射频消融联合肝动脉栓塞化疗及盐酸注射治疗肝癌[J].肿瘤研究与临床,2010,22(Z1).
作者姓名:常浩生  冯威健  杨绥冲  聂勇  王刚  黄建峰
作者单位:武警北京总队第二医院外一科,100037
摘    要:目的 探讨射频消融(RFA)联合肝动脉化疗栓塞(TACE)及盐酸治疗不能手术切除的肝癌的效果.方法 尉40例肝癌应用RFA联合TACE及盐酸治疗的临床资料进行回顾性分析.结果 原发性肝癌(PHT)30例,转移性肝癌(MPT)10例.治疗后影像学显示病灶好转或稳定39例.盐酸破坏30例中治疗前甲胎蛋白阳性26例,术后降至正常26例.未发生严重并发症.结论 RFA联合TACE及盐酸破坏肿瘤系安全、可耐受、有效的新的综合治疗方法,可提高不能切除的肝癌的治疗效果.
Abstract:
Objective To explore the effect of radio frequency ablation (RFA) combined with transcatherterarterial chemo embolization (TACE) and percutaneous puncture hydrochloric acid injection(PHI) for hepatic tumors unable to resection. Methods The clinical data of 40 cases of patients with unable resection liver cancer (URLC) treated by RFA combined with TACE and PEI were analyzed retrospectively.Results There were 30 cases of primary hepatic tumor(PHT) and 10 cases of metastasis hepatic tumor(MPT) , in this series. Examination of ultrasound, CT and MRI showed the tumors shrink or steady in 39 patients.Among 30 patients with damage by ethanol, 18 cases were AFP positive before treatment and 16 cases of them AFP decreased to normal level after operation. No severe complication was seen in the series. Conclusion RFA combined with TACE and PEI is a safe, well tolerable and effective method for hepatic cancer, and may improve the treatment efficacy of URLC.

关 键 词:肝肿瘤  射频消融术  栓塞  治疗性  肝动脉

Radio frequency ablation combined with transcatherterarterial chemo embolization and ethanol injection for hepatic carcinoma
CHANG Hao-sheng,FENG Wei-jian,YANG Sui-chong,NIE Yong,WANG Gang,Huang Jian-feng.Radio frequency ablation combined with transcatherterarterial chemo embolization and ethanol injection for hepatic carcinoma[J].Cancer Research and Clinic,2010,22(Z1).
Authors:CHANG Hao-sheng  FENG Wei-jian  YANG Sui-chong  NIE Yong  WANG Gang  Huang Jian-feng
Abstract:Objective To explore the effect of radio frequency ablation (RFA) combined with transcatherterarterial chemo embolization (TACE) and percutaneous puncture hydrochloric acid injection(PHI) for hepatic tumors unable to resection. Methods The clinical data of 40 cases of patients with unable resection liver cancer (URLC) treated by RFA combined with TACE and PEI were analyzed retrospectively.Results There were 30 cases of primary hepatic tumor(PHT) and 10 cases of metastasis hepatic tumor(MPT) , in this series. Examination of ultrasound, CT and MRI showed the tumors shrink or steady in 39 patients.Among 30 patients with damage by ethanol, 18 cases were AFP positive before treatment and 16 cases of them AFP decreased to normal level after operation. No severe complication was seen in the series. Conclusion RFA combined with TACE and PEI is a safe, well tolerable and effective method for hepatic cancer, and may improve the treatment efficacy of URLC.
Keywords:Liver neoplasms  Catheter ablation  Embolization  therapeutic  hepatic artery
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