肝动脉化疗栓塞联合CT导向经皮肝穿注射无水乙醇治疗肝癌的评价

Combination of transcatheter arterial chemoembolization and CT-guided Percutaneous ethanol injection therapy in treating advanced hepatocellular carcinoma

目的评估肝动脉化疗栓塞(transcatherterarterialchemoembolieation,TACE)联合CT引导下经皮穿刺肝癌无水乙醇注射术(percutaneousethanolinjectiontherapy,PEIT)治疗肝癌的疗效。方法对64例经证实为原发性肝癌随机分成两组,在进行TACE的间歇期,32例在CT引导下行PEIT,并与同期32例单纯行TACE比较。结果单纯行TACE组,1、2a生存率分别为46.9%、12.5%;TACE联合PEIT组,1、2a生存率分别为71.9%、31.3%。AFP下降幅度单纯TACE组为56.3%,TACE联合PEIT组为78.1%。结论TACE联合PEIT为原发性肝癌较好的一种综合治疗方法,可提高肝癌治疗疗效。

[Objective] Assess the hver artery chemotherapy embolism （Transcatherter arterial chemoembolieation, TACE） The skill （Pereutaneous ethanol injection therapy, PELT） curative effect treated cancer of the liver is geted off after the hide the anhydrous ethyl alcohol of puncture cancer of the liver to inject in alliance CT＇s boot. [Methods] To 64 instances after confirms in the interest of previoysly the quality the delivering cancer of the liver randomly separates intotwo series, Be living to be underway the intermission stage of TACE, 32 The instance is living the down PElT of CT＇s boot, moreover against the same term 32 instances walkes purely TACE comparatively. [Result] Walkes purely TACE series, 1 year, 2 year living is lead to act as 46.9% separately 12.5%, TACE ally PElT series, 1 year, 2 year living is lead to act as 71.9%, 31.3% separately. The pure TACE of AFP descent scope series act as 56.3%, and TACE allys PElT and series act as 78.1%. [Conclusion] The TACE allys PElT and actd as previously one kind of synthesis that the quality delivering cancer of the liver is better and treats the means, may lift cancer of the liver treats the curative effect.