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肝动脉化疗栓塞联合CT引导下射频消融术序贯治疗小肝癌效果观察

郭汉斌 曹建彪 周一鸣 任永强 康志 孟庆梅

解放军医药杂志Issue(2):1-3,7,4.
解放军医药杂志Issue(2):1-3,7,4.DOI:10.3969/j.issn.2095-140X.2015.02.001

肝动脉化疗栓塞联合CT引导下射频消融术序贯治疗小肝癌效果观察

Effect Observation of TACE Combined with CT-guided RFA in Sequential Therapy of Small Hepatocellular Car-cinoma

郭汉斌 1曹建彪 1周一鸣 1任永强 1康志 2孟庆梅2

作者信息

  • 1. 100700 北京,北京军区总医院全军肝病治疗中心
  • 2. 065201 河北 三河,三河市燕郊人民医院消化内科
  • 折叠

摘要

Abstract

Objective To evaluate the effect of transcatheter arterial chemoembolization ( TACE) combined with CT-guided radiofrequency ablation ( CT-RFA) in sequential treatment of small hepatocellular carcinoma ( HCC) . Meth-ods A total of 48 patients with small HCC admitted during January 2011 and May 2014 underwent TACE, and then CT-RFA treatment was followed after TACE treatment for a month. Results A total of 68 hepatic lesions were detected by digital subtraction angiography in 48 patients and were completely ablated after sequential treatment. The tumor volumes after 12 months of treatment were significantly reduced compared with those before treatment ( P<0. 05 ) , and the com-plete necrosis rate of the tumor lesion was 95. 6%. Complications included pneumothorax in 5 patients and hepatic hem-orrhage in 2 patients, and the symptoms were improved after corresponding treatment. Conclusion The TACE combined with CT-RFA is an effective therapy for small HCC with good near term effect.

关键词

肝肿瘤/肝动脉/化学栓塞,治疗性/导管消融术

Key words

Liver neoplasms/Hepatic Artery/Chemoembolization, therapeutic/Catheter ablation

分类

医药卫生

引用本文复制引用

郭汉斌,曹建彪,周一鸣,任永强,康志,孟庆梅..肝动脉化疗栓塞联合CT引导下射频消融术序贯治疗小肝癌效果观察[J].解放军医药杂志,2015,(2):1-3,7,4.

基金项目

吴阶平医学基金会肝病医学部( WJP-LD-2012075A) ( WJP-LD-2012075A)

解放军医药杂志

OACSTPCD

2095-140X

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