马威,张军华,王华明,韩铁铮,王如锦,齐玲.常规与节段性栓塞化疗在小肝癌治疗中的比较研究(附56例报告)[J].中国医学影像技术,2002,18(7):672~674
常规与节段性栓塞化疗在小肝癌治疗中的比较研究(附56例报告)
A Comparison between TOCE and S-TOCE in Treatment of Small Liver Carcinoma (A Report of 56 Cases)
投稿时间:2002-07-23  
DOI:
中文关键词:  小肝癌  常规栓塞化疗  节段性栓塞化疗
英文关键词:Small liver carcinoma  TOCE  S-TOCE
基金项目:
作者单位
马威 解放军302医院放射科,北京 100039 
张军华 解放军302医院放射科,北京 100039 
王华明 解放军302医院放射科,北京 100039 
韩铁铮 解放军302医院放射科,北京 100039 
王如锦 解放军302医院放射科,北京 100039 
齐玲 解放军302医院放射科,北京 100039 
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中文摘要:
      目的 探讨常规栓塞化疗(TOCE)与节段性栓塞化疗(S-TOCE)在小肝癌治疗中的疗效比较。方法 56例中26例行TOCE治疗42次,平均1.6次/例,30例行S-TOCE治疗39次,平均1.3次/例。术后随访6~36个月以上,并行B超、螺旋CT(SCT)及DSA(再次治疗时)检查,以判断疗效。结果 26例行TOCE治疗病例,碘油完全充填12例,占46.2%,-年内复发5例,占19.2%;30例行S-TOCE治疗病人,碘油完全充填25例,占83.3%,一年内复发2例占6.7%;TOCE与S-TOCE在小肝癌治疗中完全充填及术后复发等比较有显著差异(P<0.01)。结论 S-TOCE是小肝癌非手术治疗首选方法。在疗效上与TOCE比较有显著差异。
英文摘要:
      Objective To compare the therapeutic efficacy of TOCE and S-TOCE in treatment of small liver carcinoma. Methods Among the 56 cases, 26 received TOCE 42 times (mean=1.6 times/case) and the other 30 underwent S-TOCE for 39 times (mean=1.3 times/case). After the treatments, all the patients were examined with B-mode ultrasonography, spiral CT (SCT) and DSA (upon the re-treatment) and followed for 6-36 months for judgment of therapeutic efficacy. Results For the 26 cases receiving TOCE, complete filling in the lesions by lipoiodol was found in 12 cases(46.2%) and recurrence of the carcinoma in 5 cases(19.2%) within 1 year. As for the other 30 cases receiving S-TOCE, the complete filling by lipoiodol was found in 25 cases(83.3%) and recurrence of the carcinomas were only in 2 cases(6.7%) within 1 year. There were significant differences between the two groups of the patients (P<0.01). Conclusion S-TOCE should be the first choice for non-surgical treatment of small liver carcinomas and its therapeutic efficacy is significantly better than that of TOCE.
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