原发性肝癌术后肝动脉造影术及化疗栓塞术的临床价值

Significance of preventive TACE in primary liver cancer after operation

目的通过对125例原发性肝癌患者的随访,探讨预防性TACE在防治肝癌术后复发中的意义。方法比较术后1～2月接受和未接受预防性TACE患者不同时间段肝癌的复发率进行分析。结果接受预防性TACE者术后1年内肿瘤复发率低于未接受者,术后1年以上复发率无差异。结论术后1～2月内行预防性TACE可早期发现残癌和预防复发,并可进行治疗,值得进一步研究。

Objective To investigate the changes in recurrent rate of hepatocellular carcinoma（HCC） after operation by preventive transcatheter arterial hemoembolization（TACE）. Methods A total of 125 patients with HCC were followed up after the tumor resection. Meanwhile, the recurrent rate of HCC was compared between the cases with preventive TACE and those without. Results The recurrent rate of HCC was significantly lower in these cases with preventive TACE than those without preventive TACE within 1 year after the HCC resection. Over 1 year, there was no significant difference in the recurrent rate between the 2 groups. Conclusion The preventive TACE can diagnose HCC in early-stage and prevent recurrent HCC during 1~2 month after surgical resection, what is the most important is that the preventive TACE is also the main treatment option for patients after HCC resection, the value of the preventive TACE doesn＇t mean these,which can been explored more in the future.