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综合介入治疗伴肝功能失代偿肝癌的临床观察
Clinical observation of comprehensive interventional therapy in treatment of hepatocellular carcinoma with hepatic dysfunction

微创医学 201601期 页码:50-52

作者机构:中国人民解放军第一八一医院,桂林市541002

基金信息:作者简介:冯玉泽(1984~),性别,本科,住院医师,研究方向:肝胆胰外科疾病。

DOI:DOI:10.11864/j.issn.1673.2016.01.17

  • 中文简介
  • 英文简介
  • 参考文献
目的探讨综合介入治疗伴肝功能失代偿肝癌的临床疗效。方法伴肝功能失代偿的肝癌患者90例,分为研究组与对照组各45例。对照组给予肝动脉栓塞化疗,研究组采用肝动脉节段性栓塞化疗以及序贯消融综合介入模式治疗。对比两组的临床疗效、并发症以及治疗后6个月、1年、3年的生存率。结果研究组总有效率为75.56%(34/45),对照组为53.33%(24/45),两组比较,差异有统计学意义(P<0.05);研究组并发症发生率为6.67%,对照组为22.22%,两组比较,差异有统计学意义(P<0.05);研究组6个月、1年、3年的生存率均明显高于对照组,两组比较,差异有统计学意义(P<0.05)。结论综合介入治疗伴肝功能失代偿肝癌的临床疗效显著,并发症少,生存率较高。
ObjectiveTo investigate clinical efficacy of comprehensive interventional therapy in treatment of hepatocellular carcinoma with hepatic dysfunction. MethodsA total of 90 cases of hepatocellular carcinoma patients with hepatic dysfunction were divided into study group and control group, 45 cases in each group. The control group was treated with hepatic arterial chemoembolization, and the patients of study group were treated by hepatic arterial segmental chemoembolization and sequential ablation combined intervention.The clinical efficacy, complications and survival rate of 6 months, 1 years and 3 years after treatment were compared. ResultsThe total effective rate of the study group (75.56%) was significantly higher than that of the control group (53.33%) (P<0.05). The incidence of complications in the study group (6.67%) was lower than that of the control group (22.22%),the difference was statistically significant (P<0.05). The survival rates of the study group were significantly higher than those in the control group at 6 months, 1 year and 3 year after treatment(P<0.05). ConclusionThe clinical efficacy of comprehensive interventional therapy in treatment of hepatocellular carcinoma with hepatic dysfunction is significant, and the incidence of complications is low, the survival rate is high.

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