肝癌合并门静脉癌栓治疗的研究进展

Treatment progress on hepatocellular carcinoma with portal vein tumor thrombus

门静脉癌栓是进展期肝癌常见并发症之一,严重影响患者生活质量和预后。除传统手术治疗外,肝动脉栓塞化疗、局部消融、放射治疗、靶向药物、免疫治疗等联合应用可取得良好效果。根据不同类型门静脉癌栓,合理选择治疗方法尚未达成共识。该文综述了肝癌合并不同分型门静脉癌栓治疗的研究进展。

Portal vein tumor thrombus(PVTT)is one of common complications of advanced hepatocellular carcinoma(HCC)and seriously affects patient's quality of life and prognosis.Besides traditional surgery,combination of hepatic artery chemoembolization,local ablative therapy,radiotherapy,targeted drugs and immunotherapy can achieve satisfactory efficacies.According to different PVTT types,there is no consensus on the reasonable choice of treatment methods.This article reviews treatment progress on HCC with various PVTT types.