探究综合介入法结合瘤内注射醋酸治疗肝癌的应用.docVIP

探究综合介入法结合瘤内注射醋酸治疗肝癌的应用 杜紫雷 (濮阳市中医院影像科 河南 濮阳457000) 目的分析探讨在肝癌的治疗中采用综合介入法与瘤内注射醋酸 结合的疗效。方法研究对象选取我院2012年10月?2015年10月收治的原发 性肝癌患者80例，随机分为对照组(40例)和观察组(40例)，对照组患者仅 采用肝动脉温热化疗栓塞术(TAHCE)进行治疗，观察组患者在对照组患者基础 上皮瘤内注射50%的醋酸(PAI)治疗，比较两组患者治疗2个月后肿块直径、 AFP(甲胎蛋白)以及患者的牛存情况。结果:观察组肿块直径(3.15plusmn;0.93) cm和AFP (199.02plusmn;35.45) ?g/ml明显小于对照组肿块直径 (8.03plusmn;1.58) cm 和 AFP (1466.52plusmn;121.67) ?g/ml,统计学上有 意义(P0.05)o观察组1年、3年、5年生存率明显高于对照组。结论综合 介入法与瘤内注射醋酸结合在肝癌的治疗中疗效明显，值得临床上大力推广使用。 关键词 综合介入法；瘤内注射醋酸；肝癌 R730.5 A 2095-1752 (2016) 14-0042-02 Application of comprehensive interventional therapy combined with intratumoracetic acid?injection in treating liver cancer Du Zilei. Department of Image, The Chinese Medicine Hospital of Puyang City,Hersquo;nan Provinee,Puyang457000,China [Abstract Objective To investigate the clinical effect of comprehensive interventional therapy combined with intratumoracetic acid injection in treating liver cancer. Methods 80 cases with primary hepatic carci noma in our hospital from October 2012 to October 2015 were selected as study objects. They were divided into control group (n二40) and observation group (n=40), the control group was given 7AHCE treatment and observation group was given intratumor acetic acid injection (50%) based on control group. Compared the tumor diameter, AFP and survival situation after 2 month of the two groups. Results Tumor diameter and AFP of observation group [ (3.15plusmn;0.93) cm, (199.02plusmn;35.45) ?g/ml)] was obviously less tha neon trol group [ (8.03plusm n;1.58) cm, (1466.52plusmn;121.67) ?g/ml], the difference was statistically significant (P 0.05). Survival rate of observation group after 1,2 and 3 years were obviously higher than control group. Conclusion Comprehensive interventional therapy combined with intratumoracetic acid injection has significant effect in treating liver cancer and is worthy of wide promotion. Key words] Comprehensive interventional therapy; Intratumoracetic acid injection; Liver cancer Iquos