胃肠道肿瘤肝转移介入治疗的临床研究  

Clinical Study of Interventional Therapy for Liver Metastases from Gastric or Colorectal Carcinoma

作　　者：熊壮[1] 王建华[1] 颜志平[1] 钱晟[1] 刘嵘[1] 周大勇[1] 

机构地区：[1]复旦大学附属中山医院放射科,上海市枫林路180号200032

出　　处：《中国医学计算机成像杂志》2007年第2期120-123,共4页Chinese Computed Medical Imaging

摘　　要：目的:探讨胃肠道肿瘤肝转移数字减影血管造影术(DSA)表现和介入治疗效果。材料和方法:回顾分析61例胃癌、大肠癌肝转移瘤DSA表现和介入治疗方案,随访10个月-5年,评价其治疗效果和生存率。结果:胃癌、大肠癌肝转移的DSA表现可分为肿瘤边缘环状染色、较均匀染色和不染色3种,其中以边缘环状染色最常见。61例患者的有效率(CR+PR)为86.7%,平均生存期为19.2个月,1年、3年、5年生存率分别为91.8%、32.8%、13.1%。结论:介入治疗是胃肠道肿瘤肝转移的有效治疗方法,正确地运用介入治疗技术,合理地使用化疗药物是提高疗效的关键。Purpose： To study the DSA manifestation of liver metastases from gastric or colorectal carcinoma and the efficacy of interventional therapy for them. Materials and Methods： 61 patients, who suffered from liver metastases from gastric or colorectal carcinoma and received interventional therapy, were followed - up from 10 months to 5 years. Their DSA manifestation and therapy scheme were analyzed, and the efficacy of interventional therapy and survival rate were evaluated. Results： The stains of tumors in DSA were classed in three kinds： circular stain, uniform stain, no stain. The circular stain was seen in most cases. The CR pins PR of this group was 86. 796, and the 1 - year, 3 - year, 5 - year survival rates were 91. 896, 32.896, 13. 196 respectively.Conclusion： The interventional therapy is an effective treatment for liver metastases from gastric or colorectal carcinoma. It is important to use interventional technique exactly and adopt chemotherapy scheme reasonably.

关 键 词：胃癌 大肠癌 肝转移 介入治疗 

分 类 号：R735[医药卫生—肿瘤]