中国普通外科杂志2013，Vol.22Issue(7)：867-870,4.DOI:10.7659/j.issn.1005-6947.2013.07.010
射频消融联合肝动脉化疗栓塞治疗肝癌合并动静脉分流
Radiofrequency ablation plus transarterial chemoembolization for hepatocelluar carcinoma with arteriovenous shunts
魏晓平 1胡明道 1田大广 1王家平 2于恒海 1王秋虹 1刁畅3
作者信息
- 1. 昆明医科大学第二附属医院肝胆胰一病区,云南昆明650101
- 2. 昆明医科大学第二附属医院介入放射科,云南昆明650101
- 3. 昆明医科大学第一附属医院普通外科,云南昆明650031
- 折叠
摘要
Abstract
Objective:To evaluate the efficacy of radiofrequency ablation (RFA) combined with transarterial chemoembolization (TACE) for hepatocelluar carcinoma (HCC) with intrahepatic arteriovenous shunts (AVS).Methods:The clinical data of 45 HCC patients with intrahepatic AVS were retrospectively analyzed.In all patients,the AVS were identified by angiography or enhanced CT scan before operation.Patients underwent RFA first,followed by TACE two weeks later.At one month after operation,the patients received reexamination of the enhanced CT scan and AFP level to assess the degree of AVS occlusion and tumor ablation.Results:Operations were successfully performed in all patients.The overall disappearance and effective occlusion rate of the AVS was 28.9％ and 77.8％,and the overall complete and effective ablation rate of tumor was 68.9％ and 80％,respectively.In the 37 α-fetoprotein (AFP)-positive patients,AFP turned to be negative in 28 cases and AFP level declined in 9 cases.No serious complications occurred in any of the patients.Conclusion:RFA combined with TACE is an effective and safe approach for HCC with AVS.关键词
肝肿瘤/导管消融术/肝动脉化疗栓塞/动静脉分流Key words
Liver Neoplasms/ Catheter Ablation/ TRansarterial Chemoembolization/ Arteriovenous Shunt分类
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魏晓平,胡明道,田大广,王家平,于恒海,王秋虹,刁畅..射频消融联合肝动脉化疗栓塞治疗肝癌合并动静脉分流[J].中国普通外科杂志,2013,22(7):867-870,4.
