首页|肝动脉栓塞联合射频消融治疗小肝癌患者的临床效果分析

肝动脉栓塞联合射频消融治疗小肝癌患者的临床效果分析

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目的 肝动脉栓塞联合射频消融治疗小肝癌患者的临床效果分析.方法 分析 2020年 1月至 2023年 7月于本院诊治的小肝癌患者 46 例进行研究,根据手术方式进行分组,对照组与观察组各 23例,对照组行肝动脉栓塞,观察组在对照组基础上加射频消融治疗,比较两组临床效果.结果 治疗后观察组总有效率较对照组高(P<0.05);治疗前两组甲胎蛋白(AFP)、糖类抗原-CA199(CA199)、血管内皮生长因子(VEGF)、E-钙蛋白(EC)指标水平未见明显差异(P>0.05),治疗后观察组上述指标水平较对照组低(P<0.05);治疗前两组门冬氨酸氨基转移酶(AST)、碱性磷酸酶(ALP)、丙氨酸氨基转移酶(ALT)、直接胆红素(DBIL)指标水平未见明显差异(P>0.05),治疗后观察组上述指标水平较对照组低(P<0.05);观察组治疗后WTO生活质量量表(WHOQOL-BREF)评分均较对照组高(P<0.05).结论 肝动脉栓塞联合射频消融治疗小肝癌患者不仅疗效显著,还能降低肿瘤标志物水平,改善肝功能及生活状态,值得推广.
Clinical analysis of hepatic artery embolization combined with radiofrequency ablation in the treatment of small liver cancer patients
Objective To analyze the clinical efficacy of hepatic artery embolization combined with radiofrequency ablation in the treatment of small liver cancer patients.Methods A retrospective analysis was conducted on 46 patients with small liver cancer who were diagnosed and treated in our hospital from January 2020 to July 2023.They were divided into two groups based on surgical methods:the control group and the obser-vation group,with 23 patients in each group.The patients in the control group were received hepatic artery embolization,and in the observation group were treated with radiofrequency ablation on the basis of the control group.The clinical effects were compared between the two groups.Results After treatment,the total effective rate of the observation group was higher than that of the control group(P<0.05).There was no significant difference in the levels of alpha fetoprotein(AFP),carbohydrate antigen-CA199(CA199),vascular endothelial growth factor(VEGF),and e-calcin(EC)between the two groups before treatment(P>0.05).After treatment,the levels of these indicators in the observation group were lower than those in the control group(P<0.05).Before treatment,there was no significant difference in the levels of aspartate aminotransferase(AST),alkaline phosphatase(ALP),alanine aminotransferase(ALT),and direct bilirubin(DBIL)between the two groups(P>0.05).After treatment,the levels of these indicators in the ob-servation group were lower than those in the control group(P<0.05).The score of the WTO Quality of Life Scale(WHOQOL BREF)in the observation group after treatment was higher than that in the control group(P<0.05).Conclusion The combination of hepatic artery embolization and radiofre-quency ablation is not only effective in treating small liver cancer patients,but also reduces the level of tumor markers,improves liver function and living conditions,and is worth promoting.

Hepatic artery embolismRadiofrequency ablationSmall liver cancerSerum tumor markersLiver functionQuality of Life

屠素琴、朱锦龙、谢贵林

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312000 绍兴,浙江省绍兴文理学院附属医院

肝动脉栓塞 射频消融 小肝癌 血清肿瘤标志物 肝功能 生活质量

浙江省2022年绍兴市卫生健康科技计划项目

2022SY017

2024

浙江创伤外科
温州医学院

浙江创伤外科

影响因子:0.884
ISSN:1009-7147
年,卷(期):2024.29(2)
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