以TACE为主综合治疗不能手术切除的原发性肝癌

A TACE Oriented Comprehensive Therapy for Unresectable Primary Liver Cancer

目的探讨不能手术切除的原发性肝癌有效治疗方法。方法回顾性总结192例原发性肝癌临床资料、治疗手段及随访资料。结果192例不能手术的原发性肝癌被施以TACE为主的序贯综合治疗,169例病人得到随访,随访率88%;21例病人获得二期手术探查,其中13例行肝切除手术,8例行肝癌冷冻手术;全组病人1、3、5年生存率分别为73.6%、27.1%、9.2%。结论不能手术切除的原发性肝癌应施以TACE为主的综合治疗。

Objective To study the therapeutic measures of unresectable primary liver cancer （PLC）, Methods From January 1991 to March 2000,the clinical data of 192 patients with unresectable primary liver cancer were analyzed retrospectively with clinical data, treatment measure and followed -up data. Results 169 patients were followed-up 21 cases accepted the second line operation explore of which, 13 cases accepted the liver section and 1 case the liver freeze operation,The overall 1-, 3-and 5-year survival rate was 73.6 %, 27. 1 %, 9. 2%, respectively. Conclusion Unresectahle primary liver cancer should he treated by the TACE oriented comprehensive therapy.