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综合治疗结直肠癌肝转移68例 被引量:1

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摘要 目的:探讨结直肠癌肝转移(CRLM)的治疗方法。方法:对68例CRLM患者行原发灶加肝转移灶切除术31例(肝转移灶切除组);肝转移灶未切除37例(肝转移灶未切除组)联合无水乙醇注射、射频消融、肝动脉、门静脉置泵化疗等综合治疗。结果:肝转移灶切除组1、3、5年生存率为83.9%、45.2%和25.8%。肝转移灶未切除组1、3、5年生存率为62.2%、27.0%和8.1%。2组1年和5年生存率差异均有统计学意义(P<0.05),而3年生存率差异无统计学意义(P>0.05)。结论:对于CRLM患者,应尽可能彻底切除原发灶和肝转移灶。不能完全切除的肝转移灶同时行射频消融、肝动脉、门静脉栓塞化疗是提高治疗效果的重要补充措施。
出处 《蚌埠医学院学报》 CAS 2012年第1期65-66,共2页 Journal of Bengbu Medical College
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