Journal of Practical Hepatology ›› 2021, Vol. 24 ›› Issue (1): 119-122.doi: 10.3969/j.issn.1672-5069.2021.01.031

• Hepatoma • Previous Articles     Next Articles

Efficacy of TACE and radiofrequency ablation combination in the treatment of patients with primary liver cancer

Qiao Min, Zhao Yijian,Z hang Jianqiao,et al   

  1. Department of Radiology, Central Hospital, Shangluo 726000,Shaanxi Province, China
  • Online:2021-01-10 Published:2021-01-19

Abstract: Objective The aim of this study was to investigate the efficacy of transcatheter hepatic chemoembolization (TACE) and radiofrequency ablation (RFA) in treatment of patients with primary liver cancer (PLC). Methods A total of 108 patients with PLC were recruited in our hospital between March 2016 and March 2018, and were randomly divided into two groups, with 54 in each, receiving TACE or TACE and RFA combination. All patients were followed-up for 12 months. Results After treatment, the effective rate and disease control rate in patients receiving TACE and RFA were 77.8% and 87.0%, significantly higher than 50.0% and 70.4%(P<0.05) in TACE-treated group; one month after treatment, total serum bilirubin and alpha-fetoprotein levels in combination-treated group were (24.0±6.7)μmol/L and (135.7±15.6)μg/L, significantly lower than 【(28.3±8.2)μmol/L and (226.5±18.2)μg/L, respectively, P<0.05) in TACE-treated group; during the treatment, the incidence in TACE- and RFA-treated patients was 48.2%, not significantly different compared to 51.9% in TACE-treated group (P>0.05); the one-year survival rate in TACE- and RFA-treated patients was 75.0%(39/52), significantly higher than, 47.2%(25/53) in TACE-treated group (x2=8.542,P=0.003).Conclusion The application of TACE and RFA combination is safe and efficacious in the treatment of patients with PLC, which might prolong the survival of patients with PLC and warrants further investigation.

Key words: Hepatoma, Transcatheter arterial chemoembolization, Radiofrequency ablation, Therapy