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1、·382·JournalofClinicalandExperimentalMedicineVo1.13,No.5Mar.2014代醫(yī)藥,2011,18(26):174—175.[J].吉林醫(yī)學,2012,33(36):7874[11]王利,馬素剛,王錫鵬.保留胸前神經和肋間臂神經的乳腺癌手術[13]劉旋.乳腺癌手術保留肋間臂神經及胸前神經的臨床研究[J].中效果觀察[J].山東醫(yī)藥,2011,51(2):78—79.國實用醫(yī)藥,2011,6(32):119—120.[12]黃祥魁.保留胸前神經和肋間臂神經的乳腺癌手術臨床
2、效果觀察(收稿日期:2014—01—17)DOI:10.3969/j.issn.1671-4695.2014.05.016文章編號:1671-4695(2014)05—0382—03影響肝癌經導管肝動脈化療栓塞療效因素分析趙勇曹科曹培國(中南大學湘雅三醫(yī)院腫瘤內科湖南長沙410013)【摘要】目的探討影響肝癌經導管肝動脈化療栓塞療效的因素。方法選取2009年3月至2012年3月行肝動脈化療栓塞的肝癌患者100例作為臨床研究對象。調查影響療效的相關因素,并對其進行單因素分析篩選,再行COX回歸分析。結果治療方法、碘化油沉積
3、、腫塊類型、腫瘤血供、肝功能以及門脈癌栓是影響肝癌肝動脈化療栓塞的影響因素,肝功能(B=0.5472,Exp(B)=1.6874)、門脈癌栓[B=0.6313,Exp(B)=1.8331]是影響預后的主要因素。結論影響肝癌經導管肝動脈化療栓塞療效的因素包括治療方法、碘化油沉積、腫塊類型、腫瘤血供、肝功能以及門脈癌栓等,了解影響療效的因素對提高療效及改善預后具有積極的意義?!娟P鍵詞】肝癌肝動脈化療栓塞療效影響因素Theanalysisoffactorsafectingtheefficacyoftranscatheterem
4、bolizationoflivercancerhepaticarterialchemotherapy.ZHAO,lg,CAOKe,CAOPei—guo.InsternalMedwineOncology,CentralSouthUniversityXiangyaHospital,ChangshaHunan410013,China.【Abstract】0bjectiveToanalyzethefactorsafectinglivercancertranscathcterarterialchemoembolizationefi
5、cacy.MethodsFromMarch2009toMarch2012,100livercancerpatientsinourhospitalduringthehepaticarterychemoembolizationwereincludedintothisstudy.Thisstudywasaclinicalstudy.Factorsaffectingtheeficacyweresurveyedandanalyzedbysinglefactorscreening,re—COXregressionanalysis.R
6、esultsThetreatment,iodizedoildeposition,masstype,tumorbloodsupply,liverfunctionandportalveintumorthrombusarcfactorsthatinfluencetheeficacyofhepaticarterychemoembolization.Hepaticfunction(B:O.5472,Exp(B)=1.6874),portalveinthrombosis(B=0.6313,Exp(B)=1.8331)arethema
7、inprognosticfactors.CondusionFactorsafectinglivercancerbytranseatheterhepaticarterialchemoembolizationtreatmenteficacyin—eludediodizedoildeposition,masstype,tumorbloodsupply,liverfunctionandportalveinthrombosis.Afterunderstandtheseinfluencingfactors,thistreatment
8、willhaveapositiveefectonimprovingtheeficacyandprognosismeaning.【Keywords】Livercancer;Hepaticarterychemoembolization;Eficacy;Influencingfactors原發(fā)性肝癌(PrimaryLive