不同治疗模式对不能切除的肝癌二期手术预后的影响.pdfVIP

200 1 10 39 10 　Chin J Surg, October 2001, Vo .39, No .10 ·745 · ·· 樊嘉　吴志全　汤钊猷　马曾辰　周信达　林芷英 叶胜龙　周俭　邱双健　钦伦秀　叶青海 　　【】　　 (HCC)(TACE) 、(HALCE), 。 204 HCC , TACE HALCE 。TACE 112 , TACE 1 ～ 7 ( 2.4)。 HALCE 92 , 49 HALCE, 7 HALCE+, 36 HALCE+ 。。 7 HCC 、Cox 。 　　 1999 6 , TACE HALCE 1、3、 5、7 95.7%、69.3%、56.5% 44.5%, 1、3、5、7 88.5 %、 64.9%、51.9% 38.3%。TACE HALCE 1、3、5、7 94.1%、64.7%、51.2 %、 40.8%96.3%、73.9%、61.6%、45.2 %, 2 (P0.05 )。 (P0.05)。TACE 、 (P0.05), HALCE (P0.05)。 　　HCC , 。 、 。 【】　, ;　, ;　 Influence of different treatment modalities on survival of patients with two -stage resection of unresectabl e hepatocellul ar carcinoma 　FANJia, WUZhiquan, TANGZhaoyou, et al.Liver CancerInstitute, Zhongshan Hospital, edical CenterFudan University.Shanghai 200032, China 【Abstract】　Objective　To study the therapeutic resu ts of hepatic resection for shrunk hepatoce u ar carci- noma (HCC)after tanscatheter arteria chemoembo ization (TACE)and hepatic artery igation and chemoembo iza- tion (HALCE)in patients w ith unresectab e HCC, and compare the inf uence of the above different treatment mo- da ities on the prognosis.　Methods　Tw o hundred and four patients w ith patho ogica y proven HCC by tw o stage iver resection w ere c assified into tw o groups:TACE group (n=112)and HALEC group (n=92 ).The patients in the TACE group received a tota of 1-7 consecutive treatment courses (average, 2.4±1.2 courses).HALCE w as done in 49 patients.HALCE+a ternating fractionated radiotherapy w as emp oyed in 7 patients and HALCE + targeting regiona interna radiotherapy in 36.Shrunk tumors were surgica y removed by tw o-stage operation in a the patients w ith unresectab e HCC.Seven possib e f actors inf uencing the resu ts of two-stage resection of HCC w ere studied.　Results　A the patients were f e ow ed up to June, 1999.The 1-,