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目的 通过对433例原发性肝癌病人术后的随访,探讨预防性 TACE在防止肝癌术后复发中的意义。方法 比较术后1~2个月内接受和未接受预防性 TACE病人不同时间段肝癌的复发率进行分析。结果 接受预防性 TACE 者术后 1 年内肿瘤复发率( 20 00%)低于未接受者(39 13%;P<0 05);术后1 年以上复发率无差异(P>0 05)。结论 术后 1 ~ 2 个月内行预防性TACE有助于减少1年以内的近期复发率,可作为常规的预防手段;它既无增加术后1年以上肝癌的较远期复发率之虞,也不能降低肝癌术后1年以上较远期的复发率。
Objective To investigate the significance of prophylactic TACE in preventing postoperative recurrence of liver cancer after follow-up of 433 patients with primary liver cancer. Methods The recurrence rates of hepatocellular carcinoma at different time points in patients with and without prophylactic TACE within 1 ~ 2 months after operation were analyzed. Results The rate of tumor recurrence within one year after surgery was lower than that of non-recipients (39.13%; P <0.05). There was no difference in the recurrence rate after one year (P> 0.05). Conclusions Preventive TACE within 1-2 months after operation can help to reduce the recent recurrence rate within 1 year, which can be used as a routine preventive measure. It has no risk of more distant recurrence of HCC more than one year after operation, Can not reduce the recurrence rate of more than 1 year after liver cancer operation.