肝癌介入插管治疗术的危险因素分析  

Analysis on Risk Factors of Intervenient Catheter Therapy for Hepatic Cancer

作　　者：李凌[1] 倪恿文[1] 

机构地区：[1]江西医学院第二附属医院肿瘤科,江西南昌330006

出　　处：《江西医学院学报》2000年第4期55-57,共3页Acta Academiae Medicinae Jiangxi

摘　　要：目的 :探讨经肝动脉插管灌注化疗栓塞 (TACE)治疗中晚期肝癌的危险因素。方法 :通过对 2 40例行TACE治疗的原发性肝癌患者术后反应情况的回顾性分析 ,根据术前情况的不同分为 7组。将各组病人的术后反应情况进行统计学处理 ,从中找出其内在规律。结果 :①TACE术前异常项目的数量与其风险系数呈正相关 ;②肝外转移和γ GT≥ 30 0U/ml两项为TACE的最危险因素 ;③ALT单项升高对TACE的影响与“正常”组无显著性差异 ;④门脉癌栓、腹水、A/G倒置等异常为TACE的次危险因素。结论Objective: To find out the risk factors during the course of mid_term and late_term primary hepatic cancer (PHC) treatment by means of transcatheter arterial chemoembolization (TACE). Methods: Postoperative reactions of TACE were analyzed retrospectively in 240 patients with PHC. According to the preoperative conditions, all of the cases were divided into 7 groups. Results: (1)The number of abnormal preoperative conditions was positively correlated with the risk coefficient; (2)Both of the extrahepatic metastasis and γ_GT≥300u/ml were the riskiest factors; (3)There was no statistical difference between simply high ALT group and normal group;(4)Portal cancer embolus, ascites and albumin_globulin ratio inversion were the secondary risk factors. Conclusion: The preoperative conditions of patients played an important role in risk factors of TACE.

关 键 词：原发性肝癌 介入治疗 危险因素 回顾性分析 优化栓塞 TACE 

分 类 号：R735.7[医药卫生—肿瘤] R730.53[医药卫生—临床医学]