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目的观察介入疗法结合适形放疗治疗巨块型肝癌的临床疗效及不良反应。方法对荆州市第一人民医院收治的38例行肝动脉化疗栓塞联合适形放疗的巨块型肝癌患者的临床资料进行分析总结,分析其临床疗效及不良反应,讨论联合治疗的价值。结果所有38例患者中,完全缓解(CR)3例,部分缓解(PR)18例,稳定(SD)10例,进展(PD)7例,肝功能异常5例,胃肠道反应6例,骨髓功能抑制10例。结论介入疗法结合适形放疗治疗巨块型肝癌疗效好,不良反应少,可作为巨块型肝癌的一种治疗手段。
Objective To observe the clinical effects and adverse reactions of interventional therapy combined with conformal radiotherapy in the treatment of massive liver cancer. Methods The clinical data of 38 patients with massive liver cancer who underwent transcatheter arterial chemoembolization combined with conformal radiotherapy admitted to the First People ’s Hospital of Jingzhou City were analyzed and analyzed. The clinical efficacy and adverse reactions were analyzed. The value of combined therapy was discussed. Results Among the 38 patients, there were 3 cases of complete remission (CR), 18 cases of partial remission (PR), 10 cases of stable (SD), 7 cases of progressive (PD), 5 cases of liver dysfunction, 6 cases of gastrointestinal reaction, Bone marrow suppression in 10 cases. Conclusion Interventional therapy combined with conformal radiotherapy for the treatment of giant hepatocellular carcinoma has good curative effect and few adverse reactions, which can be used as a treatment for massive liver cancer.