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韦勇，涂
Clinicalevaluationofinterventionaltreatmentforlivercirrhosis
（编校：徐萌）
WEI Yong',TU Rong,DENG Danqiong ,CHEN Zhongming’,CHEN Yechun',LIN Zhuqiang',HE Liqiang
'Radiology Department,Sanya Chinese Medical Hospital,Hainan Sanya572000,China;Afiliated Hospital of Hainan Medical College Hainan Haikou570102,China.
[Abstract]Objective: To evaluate the clinical effect of transcatheter arterial chemoembolization for primary hepa-tocellular carcinoma. Methods : The clinical data were retrospectively analyzed in 78 patients with primary hepatocel-lular carcinoma confirmed by the standard that laid down by Professional Committee of China s anti cancer. Among the 60 patients of primary hepatocellular carcinoma, tumor embolus in portalvein was found in 4 cases,that was not found in 56 cases;tumor with plenty blood in 50 cases, that with moderate blood in 10 cases. Results: Difference tha rate of AST ,ALT and CT classify between preoperative and after surgery had statistical significance; survive time had the most intimate with deposition rate of iodipin and CT classify confirmed by survival analysis method and CT classify between I grade and IV grade had significant difference( P <0. 05). Conclusion: Primary hepatocellular carcinoma treated by interventional therapy gained satisfy clinical effect. Deposition rate of iodipin and CT classify had the most closeness with clinical effect.
[Key words]CT;liver cihosis;radiology;interventional;effect of treatment
Modem Oncology 2011,19(12) :2500 2502
【摘要】
目的：评价不同类型原发性肝癌介人治疗的临床疗效。方法：回顾性分析78例经中国抗癌协会肝
90 肝癌患者中,无门脉主干瘤栓56例，有门脉主干瘤栓4例；富血供肿瘤50例，中等血供者10例。肿瘤栓塞范（09%0%0 结果：术前、术后AST和ALT的变化率各CT分级之间差异有统计学意义；用生存分析法进行多因素分析Cox 回归，发现碘油沉积率和CT分级与生存时间关系最密切，且CT分级I级与IV级间差异显著（P<0.05）。结论：应用介入治疗原发性肝癌可获得满意的临床疗效，碘油沉积率、肝硬化CT分级与临床疗效关系最密切。【关键词]CT；肝癌；放射学；介人性;疗效
【中图分类号】R735.7
【文献标识码】A
【文章编号]16724992(2011)12250003
【收稿日期】【修回日期】基金项目】【作者单位】
【作者简介】【通讯作者】
2011 09 07 60110
海南省自然科学基金资助项目（编号：30122）海南省三亚市中医院，海南三亚572000
2海南医学院附属医院，海南
海口570102
韦勇（1971－），男，海南海口人，副主任医师，主要从事放射医学诊断及介人治疗的研究。E-mail;dan-qiong8@126.com
涂蓉（1958－），女，潮北人，主任医师，博士，主要从事放射医学诊断及介人治疗的研究。
DOI:10.3969/j.issn.1672 4992.2011.12.47
从2005年3月开始我们按照参照其他方案制定了自己的治疗方案，先后对78例原发性肝癌患者进行了TACE介人治疗，对其中的60例进行了较长时期的临床观察与评价，收到了良好的临床效果，现将结果报告如下。
1资料与方法 1.1临床资料
从2005年3月至2009年8月，共对78例原发性肝癌患者按照如下统一标准进行了TACE介人治疗。入组病人诊断依据为血清AFP、影像学资料及临床表现等综合诊断，均符合中国抗癌协会肝癌专业委员会制定的标准("]。除去18