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目的中晚期肝癌经皮穿刺肝动脉化疗栓塞术(TAE)后,为提高术后生存期,提供Ⅱ期切除术最佳指征。方法收集62例中晚期肝癌经TAE后Ⅱ期手术切除完整随访资料,分为未复发组(A)、复发组(B)、以术前TAE次数、间隔时间、AFP变化、肝硬化程度、术前CT检查影像学改变、术后病理标本资料,采用相应统计方法进行统计分析。结果A组术后生存率明显优于B组,A组病人对TAE反应、肿瘤大小和肝内子结节数等均优于B组。结论TAE后肝肿瘤内碘化油沉积良好,肿瘤缩小达1/4~1/2以上,肝内无播散灶的病人Ⅱ期切除后复发率低,生存率高
Objective To provide the best indications of stage II resection for the purpose of improving the postoperative survival period after percutaneous transhepatic arterial chemoembolization (TAE). METHODS: Complete follow-up data of 62 cases of advanced liver cancer after TAE were collected and divided into non-recurrent group (A), recurrent group (B), preoperative TAE times, interval time, AFP changes, degree of cirrhosis, and surgery. Pre-CT examination of imaging changes, postoperative pathological specimens, using statistical methods for statistical analysis. Results The survival rate of group A was significantly better than that of group B. The response of TAE, the size of tumor, and the number of intrahepatic sub-nodules in group A were all better than those in group B. Conclusion The iodinated oil deposits in liver tumors after TAE are good, the tumor size is reduced by more than 1/4 to 1/2, and the recurrence rate is low after the secondary resection of patients with no disseminated tumors in the liver.