跨动脉化学栓塞:肝细胞癌的一致且不断发展的治疗方法
Amar Mukund1, Niraj Kumar1, Amol Srivastava1
1Department of Interventional Radiology, Institute of Liver and Biliary Sciences, D-1, Vasant Kunj, New Delhi, 110070, India.
Journal of clinical and experimental hepatology
|April 14, 2025
概括
跨动脉化学栓塞 (TACE) 是肝癌 (HCC) 的关键治疗方法. 在TACE技术的进步,包括药物释放珠子,改善了结果,并确保其在HCC管理中的持续作用.
科学领域:
- 干预性放射学 干预性放射学
- 肝胆瘤学 肝胆瘤学
- 医疗技术 医疗技术 医学技术
背景情况:
- 自1977年以来,转动脉化学栓塞 (TACE) 已成为不可切除的中期肝细胞癌 (HCC) 的标准治疗方法.
- 传统的TACE (c-TACE) 涉及化学乳液和栓塞,而药物排泄珠 (DEB) TACE 在20世纪初出现,提供了更好的结果,特别是在较大的瘤中.
研究的目的:
- 审查目前的知识和TACE在肝细胞癌的进展.
- 强调TACE的重要性,技术方面以及最近的技术创新.
主要方法:
- 关于TACE对HCC的当前文献和临床实践的审查.
- 讨论传统的TACE (c-TACE) 和药物释放珠 (DEB) 的TACE技术.
- 突出TACE技术,导管和栓塞颗粒方面的进展.
主要成果:
- TACE仍然是中期HCC的关键治疗方式.
- 与c-TACE相比,DEB-TACE的结果更好,特别是在较大的瘤中.
- 在TACE技术的持续进步提高了安全性和有效性.
结论:
- 多种形式的TACE仍然是HCC治疗策略的组成部分.
- 在TACE的技术进步有助于改善患者的治疗结果.
- 在单独使用或与其他HCC疗法结合使用时,TACE仍然是一个有价值的选择.
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