首页|经皮肝穿刺射频消融对肝癌患者临床疗效及肿瘤体积的影响

经皮肝穿刺射频消融对肝癌患者临床疗效及肿瘤体积的影响

Effect of percutaneous hepatic puncture radiofrequency ablation on clinical efficacy and tumor volume in patients with hepatocellular carcinoma

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目的 分析肝癌患者治疗中行经皮肝穿刺射频消融对其临床疗效及肿瘤体积产生的影响.方法 以2021年1月至2023年1月间在本院接受诊疗的肝癌患者80例作对象,以电脑随机数表法为依据分组,对照组40例的治疗方法是肝肿瘤切除术,观察组40例的治疗方法是经皮肝穿刺射频消融,比较2组临床疗效、肝功能、肿瘤体积及血清肿瘤标志物.结果 治疗后,观察组总有效率72.5%(29/40),对照组为50.0%(20/40),组间比较,观察组更高(x2=4.266,P<0.05);治疗后3 d,观察组总胆红素、丙氨酸转氨酶与天冬氨酸转氨酶水平均低于对照组(P<0.05),治疗后30 d,2组肝功能各项指标比较,差异无统计学意义(P>0.05);治疗后3 d、30 d时,观察组患者的肿瘤体积均小于对照组(P<0.05);治疗后3 d、30 d时,观察组患者的血清γ-谷氨酰转移酶、甲胎蛋白、糖类抗原125及癌胚抗原表达均比对照组更低(P<0.05).结论 肝癌患者治疗中行经皮肝穿刺射频消融有助于提高其临床疗效,减少肝功能受损程度,而且还可以降低肿瘤体积,促进血清肿瘤标志物表达进一步下调.
Objective To analyze the effects of percutaneous radiofrequency ablation on the clinical efficacy and tumor volume of patients with liver cancer.Methods Eighty cases of patients with liver cancer who were received diagnosis and treatment in our hospital from January 2021 to January 2023 were divided into groups based on the computer random number table method.The treatment method of 40 patients in the control group was liver tumor resection,and the treatment method of 40 patients in the observation group was percutaneous liver puncture radiofrequency ablation.The clinical efficacy,liver function,tumor volume and serum tumor markers of the two groups were compared.Results After treatment,the total effective rate was 72.5%(29/40)in the observation group and 50.0%(20/40)in the control group.The comparison between groups showed that the observation group had a significantly higher rate(x2=4.266,P<0.05).The levels of TBIL,ALT and AST in the observation group were lower than the control group at 3 days after treatment(P<0.05),and there was no statistical difference in liver function indexes between the two groups at 30 days after treatment(P>0.05).At 3 d and 30 d after treatment,the tumor volume of observation group was smaller than the control group(P<0.05).At 3 d and 30 d after treatment,the expression of y-GT,AFP,CA125 and CEA in the observation group were lower than those in the control group(P<0.05).Conclusion Percutaneous liver puncture radiofrequency ablation during the treatment of liver cancer patients is helpful to improve the clinical efficacy,reduce the degree of liver function impairment,reduce the tumor volume,as well as promote the further downregulation of serum tumor markers.

Liver neoplasmsRadiofrequency ablationBiomarkers,tumorTumor burden

柳群力、朱鸷翔

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河南大学第一附属医院医学影像科,开封 475000

肝肿瘤 射频消融术,生物标记,肿瘤 肿瘤负荷

开封市科技发展计划项目

2103018

2024

实用医技杂志
山西医药卫生传媒集团有限责任公司

实用医技杂志

影响因子:0.534
ISSN:1671-5098
年,卷(期):2024.31(6)