论文部分内容阅读
目的:观察肝动脉化疗栓塞术加体外高频热疗对原发性肝癌的治疗效果和术后的各种反应。材料与方法:原发性肝癌78例(男62例,女16例),随机分为肝动脉化疗栓塞术加体外高频热疗组,(综合组37例)及单纯肝动脉化疗栓塞组(TACE组41例)。对78例先行数字减影造影(DSA)然后行TACE。综合组手术后第2天行高频热疗每4天一次,5次为一疗程,最少一个疗程,最多2个疗程。TACE每月两次以上纳入观察对象,对两组患者术前、术后的症状、体征及肿瘤大小进行比较。随访1、2、3年以上生存期。结果:综合组缓解率1年、2年、3年生存率(75.6%、54%、40.5%)患者高于TACE组相应指标(53.6%、36.5%、29%)P<0.05。结论:肝动脉化疗栓塞术加体外高频热疗对原发性肝癌的疗效大于单纯肝动脉化疗栓塞术,有助于提高临床疗效。
Objective: To observe the therapeutic effect of hepatic artery chemoembolization combined with external high frequency hyperthermia on primary hepatocellular carcinoma (HCC) and various postoperative reactions. Materials and Methods: Seventy-eight cases of primary hepatocellular carcinoma (62 males and 16 females) were randomly divided into hepatic arterial chemoembolization plus external high frequency hyperthermia group (37 cases in combination group) and hepatic arterial chemoembolization group TACE group 41 cases). For 78 cases of digital subtraction angiography (DSA) and then TACE. On the second day after operation, the combination group performed high frequency hyperthermia once every four days, five times as a course of treatment, at least one course of treatment and up to two courses of treatment. TACE more than twice a month into the observation object, the two groups of patients preoperative and postoperative symptoms, signs and tumor size were compared. Followed by 1, 2, 3 years of survival. Results: The overall response rate of the comprehensive group was higher than that of the TACE group (53.6%, 36.5%, 29%, P <0.05) in one year, two years and three years survival rate (75.6%, 54%, 40.5%). Conclusion: The effect of transcatheter arterial chemoembolization combined with external high frequency hyperthermia on primary hepatocellular carcinoma is greater than that of transcatheter hepatic arterial chemoembolization alone. It is helpful to improve the clinical curative effect.