101例原发性肝癌患者TACE治疗预后多因素分析

发布时间：2019-04-11 15:25

【摘要】：目的:对可能影响TACE预后的多因素进行分析,找出影响预后的因素,为评估患者预后和提高TACE治疗效果提供依据。方法:对可能影响预后的因素:性别、年龄、肿瘤大小、米兰标准、介入手术次数、AFP值、肝功能Child-pugh分级、BCLC分期、治疗方式、门脉癌栓、动静脉瘘、碘油沉积进行单因素的分析,得出可能与预后相关的因素有:肿瘤大小、介入治疗次数、治疗方式、门静脉癌栓、动静脉瘘、碘油沉积、BCLC分期、米兰标准、肝功能分级,AFP,然后将这些可能影响的因素进行多因素的分析。结果:结果表明对预后有重要意义的因素有:介入治疗次数、BCLC分期、治疗方式。结论:TACE治疗在早、中、晚肝癌的治疗中都起到了重要的作用。影响TACE治疗预后的因素很多。治疗次数越多、BCLC早期、联合治疗的患者预后较好。
[Abstract]:Aim: to analyze the factors that may affect the prognosis of TACE, and to find out the factors that influence the prognosis, so as to provide evidence for evaluating the prognosis of patients and improving the therapeutic effect of TACE. Methods: sex, age, tumor size, Milan criteria, times of intervention, AFP, liver function Child-pugh grade, BCLC stage, treatment method, portal vein tumor thrombus, arteriovenous fistula, and so on, were considered as prognostic factors. Univariate analysis showed that the possible prognostic factors were tumor size, frequency of interventional therapy, treatment, portal vein tumor thrombus, arteriovenous fistula, iodized oil deposition, BCLC stage, Milan standard, liver function grade, AFP,. Then the factors that may affect these factors are analyzed by multi-factor analysis. Results: the results showed that the important prognostic factors were the times of interventional therapy, BCLC stage and treatment method. Conclusion: TACE plays an important role in the treatment of early, middle and late liver cancer. There are many factors affecting the prognosis of TACE. The more times of treatment, the better prognosis of patients with early BCLC.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R735.7

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