单纯肺转移性肝癌病灶的治疗
Treatment for simple pulmonary metastasis of primary hepatic cancer
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摘要: 目的 分析比较三维适形放疗和放射介入栓塞治疗 4 2例原发性肝癌切除术后单纯肺转移性肝癌病灶的临床疗效。方法 对近 5年 2 6例采用三维适形放疗技术治疗原发性肝癌切除术后单纯肺转移肝癌病人的临床表现及近期疗效进行归纳总结, 并与同期 16例采用放射介入治疗病人进行比较分析。结果 随访 18个月, 三维适形放疗组肺转移肝癌病灶有效控制率、缩小率、消失率分别是 10 0 %、5 7.6 9%和 38.4 6 %。同期介入治疗组肺转移性肝癌有效控制率、缩小率、消失率分别是 6 2 .5 0 %、5 0 .0 0 %和 18.75 %, P <0 .0 1。结论 三维适形放疗能够有效地控制和杀灭原发性肝癌切除术后出现的肺转移性肝癌病灶, 延长病人的存活时间, 且副作用小, 耐受性好, 疗效明显优于放射介入栓塞治疗。Abstract: Objective To summarize the curative effect of simple pulmonary metastasis of primary hepatic cancer treated by 3 dimensional conformal radiation therapy(3 DCRT)and radio intervention therapy(RIT). Methods 26 cases of simple pulmonary metastasis of primary hepatic cancer treated by 3 DCRT and the other 16 cases treated by RIT were retrospectively analyzed and their indication, clinical presents and efficiency were listed. Results Pulmonary metastasis controlling rate, decreased size rate, disappearing...
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