论文部分内容阅读
肝癌是术后复发率较高的癌肿之一。为了探讨血清AFP岩藻糖指数对肝癌复发的预测作用,本文以18例术后AFP未能转阴的肝癌患者的对象,研究手术前后血清AFP岩藻糖指数的变化类型,并结合随访结果进行队发析。结果表明,2例术前AFP及岩藻糖指数均较低,术后两值无明显变化,1年后未见复发;5例术前两值较高,术后两值明显降低,1年后亦无1例复发;11例术后AFP明显降低,甚至达很低水平,但岩藻指数为化不大,其中7例在半年内复发,1例在9个月复发。提示AFP岩藻糖指数是肝癌的特异性敏感指数。观察肝癌术后AFP岩藻糖指数变化,有助于我们判断肝癌是否得到根治切除或余肝是否存在肝硬变活动,从而准确地评估疗效,预测复发。
Liver cancer is one of the cancers with a high postoperative recurrence rate. To investigate the predictive effect of serum AFP fucose index on hepatocellular carcinoma recurrence, we used 18 cases of liver cancer patients who failed to reverse AFP after surgery to study the type of change in serum AFP fucose index before and after surgery, and combined with follow-up results. The team developed. The results showed that the preoperative AFP and fucose index were lower in 2 cases, and there was no significant change in the two values after operation. No recurrence was seen after 1 year. The preoperative values were higher in 5 cases, and the two values decreased significantly after 1 year. There was also no recurrence in 1 case; AFP was significantly reduced in 11 cases, even to a very low level, but the fucoidic index was not very large, of which 7 cases recurred in 6 months and 1 case recurred in 9 months. It is suggested that the AFP fucose index is a specific sensitivity index of liver cancer. Observing the change of AFP fucose index after hepatocellular carcinoma can help us judge whether hepatic cancer has undergone radical resection or whether there is liver cirrhosis activity in the liver, so as to accurately evaluate the efficacy and predict recurrence.