CAJ | 학술논문

目的探讨射频消融(RFA)联合肝动脉化疗栓塞(TACE)及盐酸治疗不能手术切除的肝癌的效果.方法尉40例肝癌应用RFA联合TACE及盐酸治疗的临床资料进行回顾性分析.结果原发性肝癌(PHT)30例,转移性肝癌(MPT)10例.治疗后影像学显示病灶好转或稳定39例.盐酸破坏30例中治疗前甲胎蛋白阳性26例,术后降至正常26例.未发生严重并发症.结论 RFA联合TACE及盐酸破坏肿瘤系安全、可耐受、有效的新的综合治疗方法,可提高不能切除的肝癌的治疗效果.
목적 탐토사빈소융(RFA)연합간동맥화료전새(TACE)급염산치료불능수술절제적간암적효과.방법 위40례간암응용RFA연합TACE급염산치료적림상자료진행회고성분석.결과 원발성간암(PHT)30례,전이성간암(MPT)10례.치료후영상학현시병조호전혹은정39례.염산파배30례중치료전갑태단백양성26례,술후강지정상26례.미발생엄중병발증.결론 RFA연합TACE급염산파배종류계안전、가내수、유효적신적종합치료방법,가제고불능절제적간암적치료효과.
Objective To explore the effect of radio frequency ablation (RFA) combined with transcatherterarterial chemo embolization (TACE) and percutaneous puncture hydrochloric acid injection(PHI) for hepatic tumors unable to resection. Methods The clinical data of 40 cases of patients with unable resection liver cancer (URLC) treated by RFA combined with TACE and PEI were analyzed retrospectively.Results There were 30 cases of primary hepatic tumor(PHT) and 10 cases of metastasis hepatic tumor(MPT) , in this series. Examination of ultrasound, CT and MRI showed the tumors shrink or steady in 39 patients.Among 30 patients with damage by ethanol, 18 cases were AFP positive before treatment and 16 cases of them AFP decreased to normal level after operation. No severe complication was seen in the series. Conclusion RFA combined with TACE and PEI is a safe, well tolerable and effective method for hepatic cancer, and may improve the treatment efficacy of URLC.