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索拉非尼联合经肝动脉化疗栓塞术和射频消融对肝细胞癌患者生存期的影响

孙斌 杨晓珍 谢放 庞丽君 陈德喜 王延军

孙斌, 杨晓珍, 谢放, 庞丽君, 陈德喜, 王延军. 索拉非尼联合经肝动脉化疗栓塞术和射频消融对肝细胞癌患者生存期的影响[J]. 临床肝胆病杂志, 2019, 35(1): 104-108. DOI: 10.3969/j.issn.1001-5256.2019.01.019.
引用本文: 孙斌, 杨晓珍, 谢放, 庞丽君, 陈德喜, 王延军. 索拉非尼联合经肝动脉化疗栓塞术和射频消融对肝细胞癌患者生存期的影响[J]. 临床肝胆病杂志, 2019, 35(1): 104-108. DOI: 10.3969/j.issn.1001-5256.2019.01.019.
Sun Bin, Yang XiaoZhen, Xie Fang, Pang LiJun, Chen DeXi, Wang YanJun. Effect of sorafenib combined with transcatheter arterial chemoembolization and radiofrequency ablation on the survival of patients with hepatocellular carcinoma[J]. J Clin Hepatol, 2019, 35(1): 104-108. DOI: 10.3969/j.issn.1001-5256.2019.01.019.
Citation: Sun Bin, Yang XiaoZhen, Xie Fang, Pang LiJun, Chen DeXi, Wang YanJun. Effect of sorafenib combined with transcatheter arterial chemoembolization and radiofrequency ablation on the survival of patients with hepatocellular carcinoma[J]. J Clin Hepatol, 2019, 35(1): 104-108. DOI: 10.3969/j.issn.1001-5256.2019.01.019.

索拉非尼联合经肝动脉化疗栓塞术和射频消融对肝细胞癌患者生存期的影响

DOI: 10.3969/j.issn.1001-5256.2019.01.019
基金项目: 

北京市科技计划首都市民健康培育项目(Z141100002114002); 北京市卫生系统高层次卫生技术人才资助项目(2014-3-092); 北京市肝病研究所科研基金项目(2018-4-6); 

详细信息
  • 中图分类号: R735.7

Effect of sorafenib combined with transcatheter arterial chemoembolization and radiofrequency ablation on the survival of patients with hepatocellular carcinoma

Research funding: 

 

  • 摘要: 目的分析索拉非尼联合经肝动脉化疗栓塞术(TACE)和射频消融(RFA)治疗肝细胞癌(HCC)患者的生存期及预后影响因素。方法回顾性分析2012年1月-2016年6月首都医科大学附属北京佑安医院收治的,分别接受索拉非尼单药治疗(n=30)、索拉非尼联合TACE(二联疗法,n=70),或者索拉非尼联合TACE和RFA(三联疗法,n=121)治疗的221例HCC患者的中位生存期及其预后影响因素。采用Kaplan-Meier法绘制生存曲线,log-rank检验生存曲线是否有差异,Cox比例风险回归模型进行生存率的影响因素分析;不同疗法治疗患者的Child-Pugh分级和BCLC分期比较,采用Wilcoxon秩和检验分析。结果接受三联疗法治疗患者的中位生存时间,较二联疗法(9. 5个月vs 4. 3个月,χ2=12. 77,P=0. 000 4),或索拉非尼单药治疗组(9. 5个月vs2. 0个月,χ2=16. 69,P <0. 000 1)显著延长。影响疾病进展的危险因素包括患者年龄<60岁,BCLC分期C期,Child-Pugh分级B级、C级,血清AFP> 200 ng/m...

     

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  • 收稿日期:  2018-04-26
  • 出版日期:  2019-01-20
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