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262例原发性肝癌行经导管肝动脉注射碘油抗癌药混悬剂栓塞化疗(LP-TAE)后随访4~5年,生存3年以上52例,其中27例生存4年以上,8例生存5年以上,3、4、5年累计生存率分别为21.04%,11.64%和4.03%(寿命表法)。与同期生存3年以内的210例对照比较,结果表明病程分期、肝功能、肿瘤大小与生长方式、肿瘤供血丰富程度、是否伴有门脉癌柱与A-V分流、是否加用明胶海绵栓塞、Lp-TAE后碘油沉积范围、治疗后肿瘤缩小程度、AFP是否降为正常、是否伴发肝内外转移是影响肝癌Lp-TAE远期疗效的重要因素。
262 cases of primary hepatic carcinoma undergoing transcatheter hepatic artery injection of lipiodol anticancer drug suspension embolization chemotherapy (LP-TAE) followed up for 4 to 5 years and survived for more than 3 years in 52 cases, of which 27 cases survived for more than 4 years, 8 cases Over 5 years of survival, cumulative survival rates at 3, 4 and 5 years were 21.04%, 11.64% and 4.03% (life table method). Compared with the 210 controls within the same period of survival within 3 years, the results showed that the disease stage, liver function, tumor size and growth pattern, tumor blood supply richness, whether accompanied by portal cancer and A-V shunt, whether the use of gelatin sponge embolism The extent of lipiodol deposition after Lp-TAE, the extent of tumor shrinkage after treatment, whether AFP is reduced to normal, and whether intrahepatic metastasis is associated with liver cancer are important factors affecting the long-term efficacy of Lp-TAE.