门-肝静脉癌栓分期系统及微创介入消融治疗80例分析

来源 :第十二届中国介入放射学学术大会 | 被引量 : 0次 | 上传用户:edwardlj
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  目的 门-肝静脉癌栓被认为是肝癌治疗的难点.这项研究的目的在于报道一种肝癌静脉癌栓的分期系统,并初步探讨相应的微创介入治疗策略.方法 本研究共纳入162例肝癌合并静脉癌栓的患者.实验组中80名患者在经肝动脉插管化疗栓塞术(TACE)基础上接受了微波消融术、射频消融导管消融等治疗方案,对照组82名患者仅接受TACE术.结合文献报道及医疗实践,我们探讨了合理的标准手术流程并分析了临床结果.结果 没有观察到严重临床并发症.术后3个月时复查肝脏增强MRI显示5例(6.25%)病例静脉癌栓完全消失,14例(17.5%)病例静脉癌栓明显缩小,43例(53.8%)静脉癌栓稳定,18例(22.5%)静脉癌栓进展.实验组门静脉癌栓进展显著慢于对照组(P<0.001).结论 肝癌门-肝静脉癌栓的分期系统具有一定科学性与实用性,微创介入治疗策略可能提供新思路和希望.
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