A Sutdy of Three Intervention Therapies Influence on the Five Hepatofibrosis Indexes of Middle and Advanced Hepatocellular Carcimona Serum
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摘要: 了解TAE、PVE和PEI即三介入治疗中晚期肝癌对肝纤维化五项指标的影响。 6 0例中晚期肝癌 (巨块型或结节型 )随机分为治疗组 (A组 ) 30例 ,予三介入综合治疗 ,对照组 (B组 ) 30例 ,予单纯TAE介入治疗 ,并与2 5例正常人作治疗前比较 ,30~ 45天为 1周期 ,动态观察每周期治疗前后血清HA、LN、PCⅢ、ⅣC、TGF β1五项肝纤维化指标水平。治疗前A、B组各指标均明显高于正常对照组 (P <0 0 1) ;治疗后与治疗前比较 ,第 1周期仅B组HA明显上升 (P <0 0 5 ) ,第 2周期两组各指标均明显上升 (HA、PⅢ、TGF β1三项P <0 0 1,LN、ⅣC两项P<0 0 5 ) ,第 3周期各指标上升非常显著 (P <0 0 1) ;治疗后A、B两组间各指标比较没有明显差异 (P >0 0 5 )。血清五项肝纤维化指标变化与TAE疗程有关 ,与是否联合PVE及PEI无明显关系。Abstract: To study the influence of the Three Intervention Therapies (i.e. TAE, PVE and PEI) on the five hepatofibrosis indexes of middle and advanced hepatocellular carcimona.60 cases of the middle and advanced hepatocellular carcimona (massive type or nodular type) are randomly divided into 30 case of treatment (group A) treated with comprehensive intervention therapy, (the other 30) control group cases (group B) treated with pure TAE and are compared with 25 normal cases before therapy, with 30 to 45 days as a period and dynamically observe the five hepatofibrosis index levels of serum HA, LN, PCⅢ, IVC, TGFβ 1 before and after therapy every period.Before therapy, every index of groups A & B is apparently higher than that in the normal control group (P<0.01) ; a comparison between before-therapy and after-therapy shows that in the 1st period apparent elevation of HA occurs in group B only (P <0.05) , in the 2nd period every index of both groups apparently evelates (for HA, PCⅢ and TGFβ 1, P<0.01, for LN and IVC, P<0.05) ; By comparison, every index between group A and B after therapy has no significant difference (P>0.05) . The variation of the five hepatofibrosis of serum is related with TAE period of treatment, while it makes no difference between the jointing with PVE and PEI and not.
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