氩氦冷冻消融术联合中医药治疗51例原发性肝癌临床观察
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R735.7

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Clinical Observation of Argon-Helium Cryoablation Combined with Chinese Medicine for 51 Cases of Primary Liver Cancer
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    摘要:

    目的:观察氩氦冷冻消融术联合中医药治疗不同巴塞罗那肝癌临床(BCLC)分期的原发性肝癌的临床疗效。方法:回顾病例资料,将51例原发性肝癌患者按照BCLC分期分为A期、B期及C期共3组,分别统计3组无进展生存期(PFS)、总生存(OS)及6月、1年、2年生存率,并通过Log-rank检验比较3组PFS、OS的差异。结果:原发性肝癌BCLCA期、B期、C期各组中位PFS分别为(14.0±3.0) 月、(7.0±1.9) 月、(7.0±2.0) 月,3组PFS经统计学处理,差异有统计学意义( P <0.05);BCLCA期、B期、C期各组中位OS分别为(52.0±11.2) 月、(32.0±7.1) 月、(33.0±5.4) 月,3组OS比较,差异有统计学意义( P <0.05);BCLCA期、B期、C期各组6月、1年、2年生存率分别为100%、91.7%、75.0%,92.9%、78.6%、57.1%,96.0%、76.0%、44.0%。不同分期肝癌6月、1年、2年生存率,差异有统计学意义( P <0.05)。经多因素COX回归分析,BCLC分期A期、B期,KPS评分80分、90分,冷冻次数、冷冻针数为预后的保护因素,肝硬化病史,KPS评分60分、70分为预后的危险因素。结论:氩氦冷冻联合中医药治疗可延长原发性肝癌的生存期,联合治疗方案具有优势。

    Abstract:

    Objective:To observe the clinical effect of argon-helium cryoablation combined with Chinese medicine for primary liver cancer at different Barcelona Clinic Liver Cancer(BCLC)stages.Methods:Reviewed medical records,divided 51 cases ofprimary liver cancer into the BCLC stage-A group,the BCLC stage-B group and the BCLC stage-C group,respectively analyzed progression free survival(PFS),overall survival(OS)and the survival rate in the 6th month,12 th month and 24 th month of the three groups,and compared the differences of PFS and OS among the three groups via Log-rank test.R e s u lts:The median PFS of primary liver cancer in the BCLC stage-A group,the BCLC stage-B group and the BCLC stage-C group was(14.0± 3.0)months,(7.0± 1.9)months and(7.0± 2.0)months respectively,which were processed by statistics,difference being significant( P <0.05);the median OS in the BCLC stage-A group,the BCLC stage-B group and the BCLC stage-C group was(52.0±11.2)months,(32.0±7.1)months and(33.0± 5.4)months respectively,and there was significant difference being found in the comparison of OS among the three groups( P <0.05);the survival rate in the 6 th month,12 th month and 24 th month of the BCLC stage-A group,the BCLC stage-B group and the BCLC stage-C group was 100%,91.7%,75.0%,92.9%,78.6%,57.1%,96.0%,76.0%,44.0%respectively.There was significant difference being found in the survival rate of primary liver cancer at different stages in the 6 th month,12 th month and 24 th month( P <0.05).Through multivariate Cox regression analysis,at the BCLC stage A and B,the scores of 80 and 90 in KPS,the times of freezing and the quantity of cryoprobe were the protective factors for prognosis,while a history of cirrhosis and the scores of 60 and 70 in KPS were the dangerous factors for prognosis.C o n c lu s io n:The treatment of argon-helium cryoablation combined with Chinese medicine can prolong the survival time of primary liver cancer,and the combination therapy regimen has advantages.

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王雄文,贺凡,蔡玉荣.氩氦冷冻消融术联合中医药治疗51例原发性肝癌临床观察[J].新中医,2018,50(7):146-149

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  • 在线发布日期: 2018-07-09
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