中西医结合二步治疗大肝癌的临床观察  

Massive Liver Cancer Treated by Integrated Traditional Chinese and Western Medicine in Two Steps

作　　者：郑作深[1] 陈学中[1] 黄岩[1] 吕华珠[1] 邹雨荷[1] 黄鸿标[1] 

机构地区：[1]广东省江门市中心医院,江门市北街529070

出　　处：《中医杂志》1998年第11期668-669,共2页Journal of Traditional Chinese Medicine

基　　金：广东省科委重点攻关资助项目

摘　　要：探讨原发性大肝癌二步切除的新途径,第一步将放疗技术改良为全肝移动条野照射、缩野技术和分段放疗,放射总量达50～60Gy,并结合健脾理气中医疗法,第二步放疗后3～4周时行手术治疗。结果10例肝癌经术前放疗加中药治疗后,肿瘤最大径由11～15cm缩小为6～8cm,其中CT示肝门淋巴结转移灶2cm、癌旁多个卫星灶1～3cm者各1例,放疗后病灶消失;1例AFP转阴者病理仍发现存活的癌细胞。无手术死亡者,未见术后严重并发症。In order to probe the new approach of two - step excision of massive liver carcinoma. For the 1st step, the chemotherapy was modified as whole liver moving strip - field radiation, miniature technique and segmental chemotherapy, with a total radio amount of 50 - 60 G was applied, added with TCM therapy for strengthening the spleen. 3 - 4 weeks after the 1st step, the 2nd step began for operation. In 10 cases of liver cancer receiving pre - operative chemotherapy plus Chinese medicine the maximal diameter of the mass shrank from 11 - 15 cm to 6 -8 cm, with a 2 -cm focus at the portal lymph nodes under CT exam, and some satellite focus at the portal lymph nodes under CT exam, and some satellite foci 1 - 3 cm, each 1 case. After chemotherapy the lesion disappeared. Another negative AFP case was found to have survival cancer - cells. There were no fated case due to operation and severe postoperative complications.

关 键 词：肝肿瘤 中西医结合治疗 二步法 

分 类 号：R735.705[医药卫生—肿瘤]