肝动脉介入热化疗治疗转移性肝肿瘤的临床应用.pdfVIP

dt4 医营且ff. 2012 年 11 月第 19 卷第 11 期 .1917. ·论著· (临床研究) 肝动脉介入热化疗治疗转移性肝肿瘤的临床应用 万军平 (扬州友好医院/油田总医院放射科，江苏扬州 225261 ) [摘要] 目的探讨肝动脉介入热化疗治疗转移性肝肿瘤的临床疗效。方法选择2011 年 5 月至 2012 年 5 月我院收治的 58 例转移性肝肿瘤患者，采用肝动脉介入热化疗进行治疗，比较治疗前后患者肝功能变化情况及 KamofSky 评分的变化。结果与治 疗前比较，治疗 4 周后患者的谷草转氨酶、谷丙转氨酶、总胆红素、白蛋白与治疗前比较均九显著差异，患者肝功能变化不明 显，与治疗前比较差异无统计学意义 (P 0.05); 而治疗后 4 周 Kamofsky 1-干分明显升高，差异有统计学意义 (P0.05) 。结论 采用肝动脉介入热灌注治疗转移性肝肿瘤是一种安全、有效的治疗方式，并且能够较好地控制肿瘤，解除患者的痛苦，有利于提 高患者的生活质量。 {关键词] 转移性肝肿瘤;热化疗;肝动脉;介入 中图分类号: R735.7 文献标识码: A doi:l0.3969/j.issn.1674-4659.2012.1 1.1917 CIinical App Iication of Metastatíc Liver Tumors Treated by Hepatic Artery Involved Thermo-Chemotherapy WAN Junping (Yangzhou Youhan Hospital! οiljìeld General Hospital , Yangzhou 225261 , Chinα) [Abstract] Objectíve To study the clinical effect ofhepatic artery involved thermo-chemotherapy in the 阴阳lent of metastatic liver ωmors. Methods 58 cases from May 2011 to May 2012 in our hospital were treated by hepatic artery involved thermo-chemotherapy, to compare the changes in liver function and the changes ofKarnofsky scor巳s before and after treatment. Results Compared with pre-trea阳四川， after 4 weeks of treatment , the changes in liver function (including millet straw transaminase , cereal third transaminase , total bilirubin , albumin) was not obvious, without statistically significant di丘erence (P 0.05); and 武er 4 weeks of trea位nent ， Kamofsky score was significantly hìgher in contrast to pre-仕eatrnent， with statistically significant difference(P 0.05). Conclusions The hepatic artery involved thermo-chemotherapy treatm