中国微创外科杂志
中國微創外科雜誌
중국미창외과잡지
Chinese Journal of Minimally Invasive Surgery
2015年
10期
883-886,903
,共5页
王立刚%郑延波%宋雪鹏%刘胜%姜文进%孙博琳%王涛
王立剛%鄭延波%宋雪鵬%劉勝%薑文進%孫博琳%王濤
왕립강%정연파%송설붕%류성%강문진%손박림%왕도
肝细胞肝癌%化疗栓塞%射频消融
肝細胞肝癌%化療栓塞%射頻消融
간세포간암%화료전새%사빈소융
Hepatocellular carcinoma%Chemoembolization%Radiofrequency ablation
目的：探讨经导管动脉化疗栓塞（transcatheter arterial chemoembolization，TACE）联合 CT 引导下水循环冷却式射频消融（radiofrequency ablation，RFA）治疗原发性肝癌的临床疗效。方法2011年10月～2014年8月对32例原发性肝癌41个病灶（直径＜3．0 cm 病灶7个，3．0～4．0 cm 6个，＞4．0～5．0 cm 9个，＞5．0 cm 19个）采用 TACE 联合 CT 导向下水循环冷却式射频消融治疗，联合治疗后第1、3个月行螺旋 CT 双期增强扫描评价疗效。结果肿瘤影像学评价，完全缓解（complete remission，CR）11个，部分缓解（partial remission，PR）24个，稳定（no change，NC）5个，进展（progressive disease，PD）1个。32例随访10～22个月，31例存活，1例术后13个月因上消化道大出血死亡。结论 TACE 联合 CT 引导下水循环冷却式 RFA 是治疗原发性肝癌安全、微创、有效的方法。
目的：探討經導管動脈化療栓塞（transcatheter arterial chemoembolization，TACE）聯閤 CT 引導下水循環冷卻式射頻消融（radiofrequency ablation，RFA）治療原髮性肝癌的臨床療效。方法2011年10月～2014年8月對32例原髮性肝癌41箇病竈（直徑＜3．0 cm 病竈7箇，3．0～4．0 cm 6箇，＞4．0～5．0 cm 9箇，＞5．0 cm 19箇）採用 TACE 聯閤 CT 導嚮下水循環冷卻式射頻消融治療，聯閤治療後第1、3箇月行螺鏇 CT 雙期增彊掃描評價療效。結果腫瘤影像學評價，完全緩解（complete remission，CR）11箇，部分緩解（partial remission，PR）24箇，穩定（no change，NC）5箇，進展（progressive disease，PD）1箇。32例隨訪10～22箇月，31例存活，1例術後13箇月因上消化道大齣血死亡。結論 TACE 聯閤 CT 引導下水循環冷卻式 RFA 是治療原髮性肝癌安全、微創、有效的方法。
목적：탐토경도관동맥화료전새（transcatheter arterial chemoembolization，TACE）연합 CT 인도하수순배냉각식사빈소융（radiofrequency ablation，RFA）치료원발성간암적림상료효。방법2011년10월～2014년8월대32례원발성간암41개병조（직경＜3．0 cm 병조7개，3．0～4．0 cm 6개，＞4．0～5．0 cm 9개，＞5．0 cm 19개）채용 TACE 연합 CT 도향하수순배냉각식사빈소융치료，연합치료후제1、3개월행라선 CT 쌍기증강소묘평개료효。결과종류영상학평개，완전완해（complete remission，CR）11개，부분완해（partial remission，PR）24개，은정（no change，NC）5개，진전（progressive disease，PD）1개。32례수방10～22개월，31례존활，1례술후13개월인상소화도대출혈사망。결론 TACE 연합 CT 인도하수순배냉각식 RFA 시치료원발성간암안전、미창、유효적방법。
Objective To analyze the clinical efficacy of transcatheter arterial chemoembolization (TACE)combined with CT-guided water circulatory-cooling radiofrequency ablation (RFA)in the treatment of primary hepatocellular carcinoma. Methods A retrospective analysis was undertaken in 32 patients with 41 nodules of primary hepatocellular carcinoma from October 201 1 to August 2014.Seven nodules were less than 3.0 cm in diameter,6 nodules between 3.0 -4.0 cm,9 nodules between 4.0 -5.0 cm,and 19 larger than 5.0 cm.All the patients were treated by TACE combined with CT-guided water circulatory-cooling RFA.All the patients underwent follow-up with enhanced CT scanning after 1 and 3 months. Results According to the results of the CT scanning,there were 1 1 complete remission (CR),24 partial remission (PR),5 no change (NC)and 1 progressive disease (PD)in all of the nodules.Follow-up reviews for 10 -22 months in the 32 patients showed 31 survived and 1 patient died of upper gastrointestinal bleeding. Conclusion TACE combined with CT-guided water circulatory-cooling RFA is a safe,minimal invasive and effective method in the treatment of primary hepatocellular carcinomas.
