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肝动脉介入栓塞化疗联合高强度聚焦超声消融术在中晚期肝癌综合治疗中的应用效果和安全性分析

方敏洁 付明生 刘强

中国医学装备2018,Vol.15Issue(6):25-28,4.
中国医学装备2018,Vol.15Issue(6):25-28,4.DOI:10.3969/J.ISSN.1672-8270.2018.06.007

肝动脉介入栓塞化疗联合高强度聚焦超声消融术在中晚期肝癌综合治疗中的应用效果和安全性分析

The application effect and safety analysis of TACE combined with HIFU ablation in the comprehensive treatment of middle and advanced liver cancer

方敏洁 1付明生 2刘强3

作者信息

  • 1. 上海市奉贤区中心医院超声科 上海 201400
  • 2. 复旦大学附属第五人民医院消化科 上海 201400
  • 3. 上海市奉贤区中心医院介入科 上海 201400
  • 折叠

摘要

Abstract

Objective: To explore the effect of transcatheter arterial chemoembolization(TACE) combined with high intensity focused ultrasound (HIFU) ablation on patients with middle and advanced liver cancer and to analyze its anti-tumor value. Methods: 126 patients with middle and advanced liver cancer who received palliative treatment were selected in the research. According to the different treatment program, they were divided into TACE groups (66 cases) which patients received TACE and TACE combined with HIFU ablation group (60 cases) which patients received the treatment of TACE combined with HIFU ablation. After 4 weeks of treatment, the therapeutic effect of solid tumor and the change of immune function indicator of the two groups were compared. At the same time, the results of follow-up visit were recorded, and adverse reaction of antineoplaston and survival situation were further compared. Results:After treatment, the immune function both of two groups were enhanced, and the cluster of differentiation (CD)3+, CD4+, and CD4+/ CD8+of TACE combined with HIFU ablation group was significantly higher than that of TACE group (t=6.303, t=6.049, t=2.148, P<0.05). While the clinical benefit rate of TACE combined with HIFU ablation group was significantly higher than that of TACE group (Z=2.975, P<0.05), and the survival rate of 1 year and survival rate of 2 years of TACE combined with HIFU ablation group were significantly higher than that of TACE group (x2=3.99, x2=4.33, P<0.05), respectively. On the other hand, the differences of complications, included skin burn, liver function damage and abdominal discomfort, between the two groups were no significant (x2=2.235, x2=0.847, x2=0.019, P>0.05). Conclusion:The technique of TACE combined with HIFU ablation can enhance immune function and the therapeutic effect of antineoplastic, and its advantages includes obvious effect of antineoplastic and safety of usage. Therefore, its application value should be paid higher attention in oncotherapy of solid tumor as this paper's suggestion.

关键词

原发性肝癌/高强度聚焦超声消融/肝动脉介入栓塞化疗/安全性分析

Key words

Primary hepatic carcinoma/High intensity focused ultrasound(HIFU)ablation/Transcatheter arterial chemoembolization/Safety analysis

分类

医药卫生

引用本文复制引用

方敏洁,付明生,刘强..肝动脉介入栓塞化疗联合高强度聚焦超声消融术在中晚期肝癌综合治疗中的应用效果和安全性分析[J].中国医学装备,2018,15(6):25-28,4.

中国医学装备

OACSTPCD

1672-8270

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