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目的:探讨中晚期肝细胞癌的有效治疗方法。方法:应用肝动脉化疗栓塞(TACE)、部分联用B超引导下经皮肝穿注射无水酒精(PEI),治疗55例不能切除的肝细胞癌患者。结果;TACE组,肿瘤缩小>50%者25.0%(7/28)。一年、二年生存率分别为53.6%(15/28)、40%(10/25);TACE+PEI组,肿瘤缩小>50%者51.9%(14/27),一、二年生存率分别为96.3%(26/27)、76.0%(19/25)。结论:本组资料提示TACE联合PEI可明显提高治疗效果。
Objective: To investigate the effective treatment of advanced hepatocellular carcinoma. METHODS: Twenty-five unresectable hepatocellular carcinoma patients were treated with hepatic arterial chemoembolization (TACE) and partial percutaneous ultrasound-guided percutaneous transhepatic injection of absolute ethanol (PEI). As a result, in the TACE group, 25.0% (7/28) of tumors were reduced by >50%. The one-year and two-year survival rates were 53.6% (15/28) and 40% (10/25), respectively; in the TACE+PEI group, 51.9% (14/27) of tumors were reduced by >50%. The survival rates were 96.3% (26/27) and 76.0% (19/25), respectively. Conclusion: The data in this group suggest that TACE combined with PEI can significantly improve the therapeutic effect.