CAJ | 학술논문

目的探讨肝癌介入治疗的合理模式.方法回顾性总结1000例以不同方式进行介入治疗的肝癌病例资料,通过分析其病理、生化、影像及生存率等临床因素,比较各种治疗方式的价值及优缺点.结果经导管节段性肝动脉栓塞化疗(S-TOCE)与常规肝动脉注射碘油抗癌药混悬剂栓塞化疗(C-TOCE)比较,前者对肿瘤的杀伤作用大,对非癌肝组织的损害较C-TOCE轻,生存率优于C-TOCE;经皮无水酒精注射术(PEI)联合栓塞治疗可起到杀死残余癌灶的作用,对非癌肝组织未造成明显损害,生存率较单纯栓塞明显提高.对肝癌的各种并发症采取不同方式的介入治疗,能不同程度地改善患者生存质量或提高生存率.结论肝癌的介入治疗应根据肿瘤大小和类型选择不同的介入治疗方式;对肝癌的各种并发症采取积极的介入治疗是有效和必要的.
목적탐토간암개입치료적합리모식.방법회고성총결1000례이불동방식진행개입치료적간암병례자료,통과분석기병리、생화、영상급생존솔등림상인소,비교각충치료방식적개치급우결점.결과경도관절단성간동맥전새화료(S-TOCE)여상규간동맥주사전유항암약혼현제전새화료(C-TOCE)비교,전자대종류적살상작용대,대비암간조직적손해교C-TOCE경,생존솔우우C-TOCE;경피무수주정주사술(PEI)연합전새치료가기도살사잔여암조적작용,대비암간조직미조성명현손해,생존솔교단순전새명현제고.대간암적각충병발증채취불동방식적개입치료,능불동정도지개선환자생존질량혹제고생존솔.결론간암적개입치료응근거종류대소화류형선택불동적개입치료방식;대간암적각충병발증채취적겁적개입치료시유효화필요적.
Objective: To establish a reasonable protocol for interventional treatment of hcpatocellular carcinoma (HCC). Methods: The data of 1000 HCC patients treated by different kinds of interventional treatments were reviewed with their results of biochemistry, imaging, pathology and survival rate evahated.The values as well as the pros and cons of these various kinds of interventional treatments were compared in order to find an optimal protocol. Results: Segmental-transcatheter oil chemoembolization (S-TOCE)could more effectively eradicate the tumor yet inflicting less damage on the noncancerous hepatic tissue and giving much higher survival rate than the conventional transcatheter oil chemoembolization (C-TOCE).Precutaneous ethanol injection (PEI) in combination with chemoembolization could eliminate the residual tumor and significantly increase the survival rate without damaging the noncancerous hepatic tissue. The living quality or survival rate could be improved by choosing different ways of interventional treatments to cut down the complications. Conclusion: The selection of different interventional treatments should be done according to the size and type of HCC. Active management is indicated for different complications presenting along with HCC.