电针与肝动脉介入治疗巨块型肝癌的临床效果  

Clinical effectiveness of electroacupuncture therapy in combination with invasive therapy for massive liver cancer

作　　者：辛育龄[1] 刘德若[1] 孟新[1] 陈桂兹[2] 赵洪昌[2] 张伟[2] 郭永庆[1] 赵凤瑞[1] 

机构地区：[1]北京中日友好医院胸外科,100029 [2]北京中日友好医院电化疗科,100029

出　　处：《中华外科杂志》2001年第10期756-758,共3页Chinese Journal of Surgery

摘　　要：目的　探讨以电针疗法与肝动脉介入疗法相结合提高巨块肝癌的临床疗效。　方法应用BK92型治疗仪和铂金针治疗巨块型肝癌。将 10 6例巨块型肝癌分为 3组 :(1)电针与肝动脉介入疗法 (EAT +TAI)组 ;(2 )单纯电针 (EAT)组 ;(3)肝动脉介入治疗 (TAI)组。EAT +TAI组和EAT组均在开腹直视下将铂金针插入肿瘤进行通电治疗 ,唯有EAT +TAI组行肝动脉插管进行术后注药。TAI组单作肝动脉介入治疗者为对照组。　结果　EAT +TAI组的有效率为 73 7% (2 8 38) ;EAT组为5 5 6 % (2 0 36 ) ;TAI组为 2 8 1% (9 32 )。　结论　电针与肝动脉介入组的临床效果明显优于单纯电针组和肝动脉介入组 ,可视为治疗巨块型肝癌的有效方法。Objective To investigate the cl inical effectiveness of electroacupuncture therapy ( EAT ) in combination with liver artery intubation chemotherapy for massive liver cancer. Methods A total of 106 patients were divided into 3 groups. In group A, patients underwent EAT in combination with invasive therapy. In group B , patients received EAT alone. In group C, patients underwent invasive therapy o f liver artery intubation chemotherapy. In groups A and B, subcostal oblique inc ision was performed to expose liver cancer, and electrodes were inserted into th e tumor under direct vision. In group A, liver artery intubation was performed during op eration. After operation, chemotherapy was given from the tube. Liver arter y intubation chemotherapy was performed only in group C. Resul ts The effective rate was 737%( 28/38 ), 556% (20/36) and 28 1%(9/32) in groups A, B and C, respectively. Conclusions The effect of electro acupuncture therapy in combination with liver artery intubation chemotherapy achieves the best results. Therefore, it is an ef fective therapy for massive liver cancer.

关 键 词：肝细胞癌 电针治疗 化学栓塞治疗 肝动脉 介入治疗 

分 类 号：R735.7[医药卫生—肿瘤] R730.5[医药卫生—临床医学]