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目的:探讨肝癌螺旋CT早期诊断的价值及中西医结合治疗的疗效。方法:将54例肝癌患者随机分为治疗组29例,对照组25例。两组患者均经螺旋CT做出快速诊断,均进行常规化疗、放疗。治疗组在此基础上辅助应用消症益肝汤(主要药物为:郁金、大黄、赤芍、半枝莲、白花蛇舌草等),从化疗开始直至放疗结束,每日4次,每次4～5粒。结果:两组患者均行CT下多期增强检查,检出病灶共132个,最大者21cm×18cm×15cm,最小者5cm×5cm×4cm;肝区疼痛消失率比较:治疗组92.0%,对照组63.6%;腹胀好转率比较:治疗组89.3%,对照组58.3%;AFP复常率比较:治疗组94.1%,对照组56.3%;1年生存率比较:治疗组93.1%,对照组68.0%;两组比较有显著性差异(△P<0.05)。两组患者动脉化、放疗主要不良反应比较:治疗组明显降低,两组比较有显著性差异(△P<0.05)。结论:肝癌螺旋CT的早期诊断有显著的临床意义,中西医结合治疗模式可取得显著的临床疗效。
Objective: To investigate the value of early diagnosis of spiral CT in hepatocellular carcinoma and the therapeutic effect of integrated traditional Chinese and western medicine. Methods: 54 patients with hepatocellular carcinoma were randomly divided into treatment group (n = 29) and control group (n = 25). Two groups of patients by spiral CT to make a rapid diagnosis, are routine chemotherapy, radiotherapy. On the basis of this, the treatment group assisted Xiaoji Yigan Decoction (the main drugs are: turmeric, rhubarb, red peony, Scutellaria barbata, Hedyotis diffusa), from the start of chemotherapy until the end of radiotherapy, 4 times a day Times 4 to 5 tablets. Results: Two groups of patients underwent CT multi-phase enhanced examination, detected a total of 132 lesions, the largest 21cm × 18cm × 15cm, the smallest 5cm × 5cm × 4cm; liver pain disappearance rate: 92.0% in the treatment group, control The rate of improvement of abdominal distension was 89.3% in the treatment group and 58.3% in the control group. The comparison of AFP recovery rate was 94.1% in the treatment group and 56.3% in the control group. The 1-year survival rate was 93.1% in the treatment group and 68.0% in the control group, There was significant difference between the two groups (△ P <0.05). The main side effects of arterialization and radiotherapy in the two groups were compared: the treatment group was significantly reduced, there was a significant difference between the two groups (△ P <0.05). Conclusion: The early diagnosis of hepatocellular carcinoma with spiral CT has significant clinical significance, the combination of traditional Chinese and Western medicine treatment model can achieve significant clinical efficacy.