摘要
目的观察无水酒精注射术治疗中晚期原发性肝癌(PHC)合并门静脉癌栓(PVTT)的临床疗效。方法 78例合并门静脉癌栓的中晚期肝癌均在选择性肝动脉化疗栓塞(TACE)的基础上加门静脉癌栓内无水酒精注射术(PEI),观察治疗效果。结果 TACE加门静脉癌栓PEI后3年生存率为29.5%;治疗后门静脉癌栓总有效率为71.8%(56/78)。治疗前后患者肿瘤大小及血中AFP水平,差异有统计学意义(P<0.05),无严重并发症。结论 TACE加PEI治疗中晚期肝癌合并门静脉癌栓患者是一种有效的方法。
Objective To observe the effect of alcohol injection in the treatment of advanced hepatocellar carcinoma with portal vein tumor thrombus.Methods Seventy-eight patients in advanced hepatocellar carcinoma with portal vein tumor thrombus were selected to treatment with hepatic artery chemoembolization （TACE） and alcohol injection in portal vein tumor thrombus.And the effect of all the patients after treatment were observed.Results The survival rate of patients after 3 years treatment was 29.5%,the total effective rate of portal vein tumor thrombus was 71.8%（56/78）,the shorten mass and level of decreasing AFP between pre-and pos-treatment were significantly different （P 0.05）,and ingand no serious complications.Conclusion TACE plus PEI has an effective treatment in advanced hepatocellar carcinoma with portal vein tumor thrombus.
出处
《中国当代医药》
2012年第33期162-163,共2页
China Modern Medicine
关键词
肝癌
门静脉癌栓
无水酒精注射
疗效观察
Hepatocellar carcinoma
Portal vein tumor thrombus
Alcohol injection
Effects observation
