TACE联合冷循环微波消融治疗原发性肝癌的疗效观察.docVIP

TACE联合冷循环微波消融治疗原发性肝癌的疗效观察 　　[摘要] 目的 观察TACE联合冷循环微波消融治疗原发性肝癌的疗效。 方法 收取我院70例原发性肝癌患者，选取2013年2月～2015年5月，并所有患者随机分为两组，对照组患者采用TACE治疗，观察组患者实施TACE联合冷循环微波消融治疗，将两组患者治疗后的病灶复发率、总有效率、肿瘤直径进行比较。 结果 观察组原发性肝癌患者实施治疗后病灶复发率、总有效率优于对照组，差异有统计学意义（P0.05）。 结论 TACE联合冷循环微波消融治疗原发性肝癌具有显著效果，不仅能缩小肿瘤直径，提高治疗效果，还能降低病灶复发率。 　　[关键词] TACE；冷循环微波消融；原发性肝癌；疗效 　　[中图分类号] R735.7 [文献标识码] A [文章编号] 2095-0616（2017）09-214-03 　　Observation on curative effect of TACE combined with cool-tip microwave ablation in treatment of primary Liver Cancer 　　WU Xuan CAI Bao WANG Donghong 　　Cancer Medical Center， Dongguan Kanghua Hospital， Dongguan 523000， China 　　[Abstract] Objective： To observe the curative effect of TACE combined with cool-tip microwave ablation in treatment of primary liver cancer. Methods： 70 patients with primary liver cancer who were admitted to our hospital from February 2013 until May 2015 were selected and they were divided into two groups. Patients in the control group were treated with TACE while patients in the observation group were treated with TACE combined with cool-tip microwave ablation. Recurrence rate of lesions， the total effective rate and tumor diameter after treatment of patients in two groups were compared. Results： Recurrence rate of lesions and the total effective rate after treatment of patients with primary liver cancer in the observation group were better than those in the control group （P 0.05）. Conclusion： TACE combined with cool-tip microwave ablation in treatment of primary liver cancer has a significant effect. It can not only reduce the tumor diameter and improve curative effect， but also reduce the recurrence rate of lesions. 　　[Key words] TACE； Cool-tip microwave ablation； Primary liver cancer； Curative effect 　　近年?恚?原发性肝癌患者发病率呈上升趋势，为临床常见和多发的恶性肿瘤，具有发展快、病程短等特点，肝移植和肝切除为原发性肝癌患者的主要治疗方式，但是由于多种因素影响，导致接受手术治疗患者较少，同时患者手术后复发率较高。随着介入微创治疗技术和医学影响技术不断发展，微波消融、射频、冷冻等治疗方式被广泛应用[1-2]。因此，我院对TACE联合冷循环微波消融治疗原发性肝癌的疗效进行研究和分析，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　收取我院70例原发性肝癌患者，收取时间在2013年2月～2015年5