不同非手术治疗方案对老年性肝癌的疗效评价
Effect of the different combined therapy methods of transcatheter arterial chemoembolization (TACE) and percutaneous radio-frequency ablation(RF) on the elder patients with unresectable hepatocellular carcinoma(HCC)
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摘要: 目的 探讨射频消融 (RF)术前行肝动脉化疗栓塞 (TACE)与RF术后行TACE两种联合治疗方案对老年性不可切除性肝癌的疗效。方法 将接受TACE与RF联合治疗的 6 9例不可切除性老年性肝癌患者分为两组。一组为TACE +RF组, 35例 ;另一组为RF +TACE组, 34例。分别将两组治疗后肿瘤缩小率, 消融率, 瘤周血流信号, AFP值及治疗后 6个月、12个月生存率进行对比。结果 两组间前述 5种指标均具有显著性差异, TACE +RF组优于RF +TACE组。结论 对于老年性不可切除性肝癌患者提倡采用TACE +RF联合治疗方案, 即RF术前先行TACE, 以增强两治疗方法之间互补性与疗效。Abstract: Objective To evaluate the effect of the different combined therapy methods of transcatheter arterial chemoembolization (TACE) and percutaneous radio-frequency ablation (RF) on the elder patients with unresectable hepatocellular carcinoma (HCC). Methods 35 unresectable elder HCC patients received the combined therapy of TACE before RF (group TACE+RF). 34 unresectable elder HCC patients received the combined therapy of TACE after RF (group RF+TACE). The datas of color-ultrasonography, AFP, 6-months and 12-mo...
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