以TACE为主综合治疗不能手术切除的原发性肝癌

A TACE Oriented Comprehensive Therapy for Unresectable Primary Liver Cancer

摘要: 目的探讨不能手术切除的原发性肝癌有效治疗方法。方法回顾性总结192例原发性肝癌临床资料、治疗手段及随访资料。结果 192例不能手术的原发性肝癌被施以TACE为主的序贯综合治疗，169例病人得到随访，随访率88％；21例病人获得二期手术探查，其中13例行肝切除手术，8例行肝癌冷冻手术；全组病人1、3、5年生存率分别为73．6％、27．1％、9．2％。结论不能手术切除的原发性肝癌应施以TACE为主的综合治疗。

Abstract: Objective 　To study the therapeutic measures of unresectable primary liver cancer(PLC) . Methods 　From January 1991 to March 2000, the clinical data of 192 patients with unresectable primary liver cancer were analyzed ret rospectively with clinical data, treatment measure and followed-up data. Results 　169 patient s were followed-up 21 cases accepted the second line operation explore of which, 13 cases accepted the liver section and 1 case the liver f reeze operation. The overall 12, 32 and 52 year survival rate was 73. 6 %, 27. 1 %, 9. 2 %, respectively. Conclusion 　Unresectable primary liver cancer should be treated by the TACE oriented comprehensive therapy.