| 微波凝固联合肝动脉化疗栓塞治疗肝内胆管细胞癌27例分析 |
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| 引用本文： | 沈杰,马爱英,夏景林,王亚进,刘秋如.微波凝固联合肝动脉化疗栓塞治疗肝内胆管细胞癌27例分析[J].中国临床医学,2006,13(6):942-943. |
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| 作者姓名： | 沈杰 马爱英 夏景林 王亚进 刘秋如 |
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| 作者单位： | 1. 解放军第455医院肿瘤科,上海,200052
2. 复旦大学附属中山医院肝癌研究所,上海,200032 |
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| 摘 要： | 目的：探讨经皮微波凝固（PMCT）联合肝动脉化疗栓塞（TACE）治疗肝内胆管细胞癌（IHCC）的疗效和机制。方法：对27例未经任何治疗、由肝活检病理证实的IHCC在实时超声引导下行PMCT，再联合TACE，根据治疗后肿瘤的坏死和复发情况，决定是否重复PMCT或TACE。结果：治疗后CA199转阴率44．4％，肿瘤平均缩小率51.4％，肿瘤完全坏死率56．7％，中位生存期18个月，1年生存率66．7％，2年生存率22．9％。结论：PMCT联合TACE治疗IHCC是一种安全、有效的方法。
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| 关 键 词： | 胆管细胞癌 微波凝固 肝动脉化疗栓塞 |
Analysis of Percutaneous Microwave Coagulation Therapy with Transcatheter Arterial Chemoembolization for Intrahepatic Cholangiocarcinoma in 27 Cases |
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| SHEN Jie, MA Aiying, XIA Jinglin,et al..Analysis of Percutaneous Microwave Coagulation Therapy with Transcatheter Arterial Chemoembolization for Intrahepatic Cholangiocarcinoma in 27 Cases[J].Chinese Journal Of Clinical Medicine,2006,13(6):942-943. |
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| Authors: | SHEN Jie MA Aiying XIA Jinglin |
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| Affiliation: | SHEN Jie, MA Aiying, XIA Jinglin, et al. |
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| Abstract: | Objective:To study the efficacy and possible mechanism of percutaneous microwave coagulation therapy(PMCT) combined with transcatheter hepatic arterial chemoembolization(TACE)in treating intrahepatic cholangiocarcinoma(IHCC). Methods:A total of 27 histological proved IHCC were treated with ultrasound-guided PMCT,and then followed by TACE.If tumor necrosis was not complete or recurrence was detected,repeated PMCT or TACE was performed.Results:After treat- ments,the rate of normalized CA199 was 44.4%,average tumor shrinkage was 51.40/00,complete tumor necrosis was 56.7%, median survival time was 18 months,1 year and 2 year survival rates was 66.7% and 22.9%,respectively.Conclusion:The combination of PMCT and TACE therapy for IHCC is a safe and effective modality. |
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| Keywords: | Cholangiocarcinoma Microwave coagulation Transcatheter Arterial Chemoembolization(TACE) |
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