孟照华, 孟宪欣①, 米文宁, 赵志文, 王振征. 肝动脉化疗栓塞联合经皮肝瘤内注射治疗中晚期肝癌的临床分析[J]. 中国肿瘤临床, 2010, 37(12): 710-712. DOI: 10.3969/j.issn.1000-8179.2010.12.014
引用本文: 孟照华, 孟宪欣①, 米文宁, 赵志文, 王振征. 肝动脉化疗栓塞联合经皮肝瘤内注射治疗中晚期肝癌的临床分析[J]. 中国肿瘤临床, 2010, 37(12): 710-712. DOI: 10.3969/j.issn.1000-8179.2010.12.014
MENG Zhaohua, MENG Xianxin1, MI Wenning, ZHAO Zhiwen, WAND Zhenzheng. Transcatheter Arterial Chemoembolization Combined with Percutaneous Treatment of Liver Tumor Injection in Advanced Liver Cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2010, 37(12): 710-712. DOI: 10.3969/j.issn.1000-8179.2010.12.014
Citation: MENG Zhaohua, MENG Xianxin1, MI Wenning, ZHAO Zhiwen, WAND Zhenzheng. Transcatheter Arterial Chemoembolization Combined with Percutaneous Treatment of Liver Tumor Injection in Advanced Liver Cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2010, 37(12): 710-712. DOI: 10.3969/j.issn.1000-8179.2010.12.014

肝动脉化疗栓塞联合经皮肝瘤内注射治疗中晚期肝癌的临床分析

Transcatheter Arterial Chemoembolization Combined with Percutaneous Treatment of Liver Tumor Injection in Advanced Liver Cancer

  • 摘要: 目的:探讨与分析影响两种治疗法治疗无法切除的中晚期肝癌患者长期生存的原因。方法:27例无法切除的中晚期肝癌,Ⅲ期10例占37.1% ,Ⅱ~Ⅲ期17例占62.9% ,合并2~3 种以上严重疾病者24例,占88.9% ,肝癌灶最大直径13cm,最小直径6.5cm,肝癌多发灶(5 个/3cm× 2.6cm× 2.4cm)1 例。PCTI乙醇及凝血酶2 次+TACE治疗1 次者7 例;PCTI γ-INF、TNF 、乙醇及凝血酶2 次+TACE1 次者5 例;PCTI SST 及上述药物治疗3 次+TACE治疗1 次者6 例;PCTI卡铂、紫杉醇、SST 、γ-INF、TNF 、乙醇及凝血酶3 次+TACE治疗2 次者6 例;PCTI应用上述药物治疗7 次+TACE治疗3 次者3 例。结果:生存期最长者426 天,最短者241 天;生存期最长者634 天,最短者368 天;生存期最长者869 天,最短者612 天;生存期最长者1 461 天,最短者873 天;生存期最长者2 556(7 年以上)天,最短者1 096 天。结论:无法切除的中晚期肝癌合并肝炎后肝硬化、门脉高压症以及严重心肺肾疾病是影响其疗效的根源,两种介入法联合治疗的次数与多种用药的次数是影响其疗效的重要因素。

     

    Abstract: Objective:To discuss and analyze the factors affecting long-term survival after simultaneous treatment with 2 kinds of therapy for patients with unresectable mid and late stage liver cancer. Methods:Twenty-seven cases had unre-sectable mid and late stage liver cancer. The 10cases in stage Ⅲaccounted for37.1%;17cases in stages Ⅱ~ Ⅲaccount-ed for 62.9%; diseases affecting2 or more important organs were 24cases, accounting for 88.9%. The liver cancer focus diameters were 9.5~13cm; 1 case of liver cancer that had a focus diameter of 5.3 × 2.6 × 2.4 cm accounted for 3.7%. Treat-ments were as follows:①PCTI, ethyl alcohol and zymoplasm 2 +TACE was given1 time ( 7 cases); ②PCTI, r-INF, TNF, ethyl alcohol and zymoplasm 2 +TACE was given 1 time ( 5 cases); ③PCTI, SST and above pharmacological treatment 3 + TACE was given 1 time ( 6 cases); ④PCTI card platinum, taxus mellow, SST, r-INF, TNF, ethyl alcohol and zymoplasm3 +TACE was given 2 times (6 cases); ⑤PCTI applied above pharmacological treatment7 +TACE was given3 times (3 cases). Results: For each treatment group survival time was as follows: ①Max.426 days, min. 241 days; ②max 634 days, min. 368 days; ③max.869 days, min. 612 days; ④max 1461 days, min. 873 days; ⑤max.2,556 days (above 7 years), min. 1096 days. Conclusion:The main factors for curative effects include unresectable mid and late stage liver cancer oc-curring with hepatitis, liver cirrhosis, the portal vein hyperbarism and serious cardiopulmonary kidney disease. Moreover, the number of therapies used simultaneously, as well as the number of multiple medications, are also important factors af -fecting the cure of this disease.

     

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