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目的 总结经导管肝动脉化疗栓塞治疗结直肠癌肝转移瘤的效果。方法 42例结直肠癌肝转移者 ,其中单纯灌注化疗 14例 ,化疗栓塞 2 8例。经肝动脉灌注化疗药物 ,碘油药物乳剂和明胶海绵栓塞。结果 完全缓解 (CR) 2例 (4 .8% ) ,部分缓解 (PR) 2 0例 (4 7.6 % ) ,无变化 (NC) 18例(4 2 .9% ) ,进展 (PD) 2例 (4 .8% ) ,有效率 (CR +PR) 5 2 .4% (2 2 / 42 )。平均生存期为 16 .4个月。 0 .5、1和 2年的生存率分别为 90 .5 %、6 6 .7%和 2 3.8%。结论 经导管肝动脉化疗栓塞治疗结直肠癌肝转移是一种有效的方法
Objective To summarize the effect of transcatheter hepatic arterial chemoembolization in the treatment of colorectal cancer with liver metastases. Methods Forty-two patients with liver metastases from colorectal cancer were enrolled in this study. Among them, 14 were chemotherapy-infusion alone and 28 were chemoembolization. Transcatheter arterial chemotherapy drugs, lipiodol emulsion and gelatin sponge embolism. Results There were 2 cases (4.8%) of complete remission (CR), 20 cases (4.7%) of partial remission (PR), 18 cases (42.9%) of no change (4. 8%), effective rate (CR + PR) 52.4% (2 2/42). The average survival time was 16.4 months. The survival rates at 0.5, 1, and 2 years were 90.5%, 66.7% and 23.8%, respectively. Conclusion Transcatheter hepatic arterial chemoembolization in the treatment of colorectal cancer hepatic metastasis is an effective method