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目的探讨肝转移癌的肝动脉造影表现及其肝动脉化疗栓塞(TACE)疗效的关系,方法回顾性分析95例肝转移患者的肝动脉造影图像。根据其造影表现分为3组:多肿瘤血管和肿瘤染色组,少肿瘤血管但有肿瘤染色组.肿瘤血管和染色都缺乏组。分别评价肝动脉化疗栓塞的总体和各组的疗效。结果95例患者中,多肿瘤血管和染色组15例中,CR +PR为(11/15)73.4%;少肿瘤血管但有肿瘤染色的例数有73例.表现为CR+PR(70/73)95.8%:肿瘤血管和染包都缺乏组7例.表现为CR+FR(2/7)28.6%.组间比较差异有统计学意义(P<0.01)。结论肝动脉化疗栓塞是治疗肝转移的一种有效方法。转移肿瘤血供丰富程度是决定疗效的关键。
Objective To investigate the relationship between hepatic arteriography and hepatic arterial chemoembolization (TACE) in patients with metastatic liver cancer. Methods The hepatic artery angiography images of 95 patients with liver metastases were retrospectively analyzed. According to their angiographic performance is divided into three groups: multiple tumor blood vessels and tumor staining group, less tumor blood vessels but tumor staining group.Tumor blood vessels and staining are the lack of group. Evaluate the overall and group efficacy of hepatic arterial chemoembolization. Results Of the 95 patients, CR + PR was (11/15) 73.4% in 15 cases with multiple tumor vessels and staining group, while the number of tumor with less tumor vessels was 73 cases, which was CR + PR (70 / 73) 95.8%: Tumor blood vessels and dyed bags were all lacking in group 7. The performance was CR + FR (2/7) 28.6%. There was significant difference between the two groups (P <0.01). Conclusion Transcatheter arterial chemoembolization is an effective method for the treatment of liver metastasis. Metastatic tumor blood supply is the key to determining the efficacy of enrichment.