肝动脉化疗栓塞联合超声介入治疗非手术肝癌的临床观察

Clinical effect of combination of radio-frequency and percutaneous ethanol injection in the treatment of primary hepatocellular carcinoma.

目的 观察肝动脉化疗栓塞 (TACE)联合超声介入 (多电极射频或经皮穿刺乙醇注射 )治疗原发性肝癌的临床疗效。方法 32 6例原发性肝癌患者分别行TACE、超声介入治疗 ,并与同期TACE联合超声介入治疗进行比较。结果 联合治疗组的近期疗效、甲胎蛋白下降均优于单纯TACE或超声介入治疗组 ,其副作用发生依次为TACE >TACE +联合超声介入 >超声介入。

Objective To investigate the clinical effect of transcatheter artery chemoembolizatiom(TACE)in combination with ultrasound guided radiofrequency(RF)or percutaneous ethanol injection(PEI)on primary hepatocellular carcinoma(PHC).Methods 326 patients with PHC were subjected to TACE,RF/PEI and TACE+RF/PEI.Results Both the short term therapeutic effect in the combined group and the decline of AFP were superior to TACE or RF/PEI group.The side effects were more in TACE than in TACE combined with RF or PEI group and them followed by RF or PEI group.Conclusion TACE in combination with RF or PEI is an effective therapy for PHC.