肝动脉化疗栓塞联合多极射频消融治疗肝癌.doc

肝动脉化疗栓塞联合多极射频消融治疗肝癌作者:刘卫东海力森康力纪胜利李新星【摘要】目的探讨经肝动脉局部化疗栓塞术( TACE )联合多极射频消融( RFA )术肝癌的疗效。方法 20 例肝癌的 DSA 表现与 CT 或 MRI 检查结果。采用微导管超选择插管栓塞。术后一月复查 CT ,20 例患者病灶的碘油聚集均不良,应用 RFA 治疗,三个月复查。结果 TACE 术后病灶明显缩小,肿瘤仍有活性,行 RFA 术后三个月复查,肿瘤局部控制率为 % 。结论 DSA 对肿瘤血供丰富,经过多次 TACE 术治疗。 RFA 术是肝癌的有效的治疗方法,是 TACE 术后疗效最佳的理想选择。【关键词】肝癌肝动脉局部化疗栓塞术多极射频消融术【 Abstract 】 Objective: To investigate the local chemotherapy by hepatic artery embolization (TACE) combined a multi-polar radio frequency ablation (RFA) for the treatment of liver cancer. Methods:20 cases of liver cancer in DSA performance and results of CT or MRI examination. The use of micro-embolization superselective catheterization. Review by CT after one month, 20 patients had lesions of lipiodol accumulation poor application of RFA treatment, review after three-month. Results:The result of significantly reduced lesions after TACE, the tumor is still active, the three-month review after RFA, local tumor control rate was %. Conclusion: DSA rich blood supply to tumor after TACE for the treatment several times. RFA liver surgery isan effective method of TACE is the ideal choice for the best effect. 【 Key words 】 hepatocellular carcinoma hepatic artery embolization chemotherapy multipolar radiofrequency catheter ablation 肝癌在我国发病率很高,约占世界病例的 45% ,该病病程短、进展快、病死率高,我国每年约 13 万肝癌患者死亡[1] 。传统的治疗对于原发性肝癌的疗效很差,远未达到治疗的效果。肝癌的 TACE 术治疗已取得良好疗效。随着肝癌早期诊断水平的不断提高