摘要
目的:评价经皮肝动脉化疗栓塞(TACE)联合CT引导下射频消融(RFA)序贯治疗膈顶部肝癌的效果。方法:选取2013年3月-2015年3月中山大学肿瘤防治中心收治的128例确诊为膈顶部肝癌的患者,均实施TACE后联合CT引导下RFA(CT-RFA),观察患者临床治疗效果。结果:128例患者经皮肝动脉造影共发现156枚病灶,均行TACE联合CT-RFA。术中并发症包括气胸8例、出血12例,给予对症处理后好转。治疗后1个月影像学复查,肿瘤完全坏死率为89.1%。结论:TACE联合CT-RFA是治疗膈顶部肝癌的有效方法,可有效灭活肿瘤。
Objective： To evaluate the effect of percutaneous transcatheter arterial chemoembolization combined with sequential CT-guided radiofrequency ablation in the treatment of liver cancer at the top of the diaphragm.Method ： The 128 patients with liver cancer at diaphragm from March 2013 to March 2015 in Sun Yatsen Cancer Center were treated by percutaneous transcatheter arterial chemoembolization （ TACE ） combined with CT-guided radiofrequency ablation （CT-RFA） .Treatment efficacy was observed.Result： A total of 156 lesions were found in 128 patients with percutaneous hepatic arteriography and were completely treated by RFA and TACE sequentially.Intraoperative complications included pneumothorax in 8 cases and bleeding in 12 cases, and symptomatic improvement after treatment.Radiological review was performed at 1 month after treatment, complete tumor necrosis rate was 89.1%.Conclusion： TACE combined with CT-RFA is an effective method for the treatment of liver cancer at the top of the diaphragm, which can effectively inactivate the tumor.
出处
《中国医学创新》
CAS
2016年第26期47-51,共5页
Medical Innovation of China
基金
广东省博士启动基金(509066331033)
关键词
肝癌
膈顶部
肝动脉化疗栓塞
射频消融术
Liver
Diaphragm top
Hepatic artery chemoembolization
Radiofrequency ablation
