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本文报道116例难以手术切除的原发性巨块型肝癌经动脉栓塞术(HAE)后,17例获得二步切除,占14.66%。术后一、二、三年生存率分别为64.70%、58.82%及52.94%。作者对HAE的意义、碘油混合抗癌药物HAE的优点进行了深入讨论,从临床实践及病理学检查说明HAE不能代替二步肝切除术。当肿瘤缩小,病变转为可以切除时,应不失时机地进行二步肝切除术。并提出了HAE后二步肝切除术的适应症。
This article reported 116 cases of difficult to surgical removal of primary massive liver cancer after transarterial embolization (HAE), 17 patients obtained two-step resection, accounting for 14.66%. The first, second and third year survival rates were 64.70%, 58.82% and 52.94%, respectively. The author discussed the significance of HAE and the advantages of HAE mixed anticancer drug HAE. HAE cannot be used as a substitute for two-step hepatectomy in clinical practice and pathological examination. When the tumor shrinks and the lesion becomes resectable, a two-step hepatectomy should be performed without losing the opportunity. The indications for HAE’s second step hepatectomy were presented.