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《Acta Academiae Medicinae Militaris Tertiae》 2004-14
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Clinical effects of radiofrequency ablation combined with hepatic arterial chemo-embolization for treating hepatocellular carcinoma

MU Wei, LI Qiang, ZHANG Lin, CHEN Jie, ZHANG Yong ke, LI Zhong hui (Department of Radiology, Southwest Hospital, Third Military Medical University, Chongqing 400038, China)  
Objective To evaluate the therapeutic efficacy of hepatic arterial chemo embolization (HACE) after radiofrequency ablation (RFA) for hepatocellular carcinoma (HCC). Methods A total of 28 cases of HCC with 33 nodules [9 intermediate nodules (3-5 cm) and 24 large nodules ( 5.1 cm)] were observed. The patients received TACE within 2-8 weeks after RFA. The therapeutic efficacy of the treatment was evaluated by enhanced CT scan and clinical follow up. Results Residual nodules were found in the treated areas after RFA by enhanced CT scan. Most of the residual nodules were well filled with lipiodol after TACE. AFP turned negative or decreased obviously in 20 cases. The follow up showed that one year and two year survival rates were 88.0% and 72.0%, respectively. Conclusion The combined therapy of RFA with TACE is an effective method for the treatment of HCC.
【CateGory Index】: R735.7
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