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Effect of TACE on liver function indexes in patients with primary liver cancer

机译:TACE对原发性肝癌患者肝功能指标的影响

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摘要

Objective:To explore effect of transcatheter arterial chemoembolization (TACE) on coagulation function, liver function and liver fibrosis index in patients with primary liver cancer.Method:118 cases of patients with primary liver cancer as observation group and 100 cases of persons with health check-up as control group. After treatment for one week with TACE, compared coagulation function (APTT, PT and FIB), liver function (TBIL, DBIL, IBIL, ALB and ALT) and liver fibrosis indexes (LN, HA, PⅢP andⅣC) in control group and observation group before and after treatment.Results: Levels of APTT, PT in observation group after treatment were higher than before treatment in group, moreover were lower than the control group, there was statistical significant difference, level of FIB after treatment in observation group was significantly lower than before treatment and obviously higher than control group, difference was significant; Compared with observation group before treatment, levels of TBIL, DBIL, IBIL, ALT increased dramatically, ALB level decreased obviously after treatment, moreover levels of TBIL, DBIL, IBIL, ALT in observation group before and after treatment were significant higher and ALB level was lower than that in control group, difference was significant; levels of LN, HA, PⅢP andⅣC in observation group before and after treatment exceeded significantly in control group, levels of LN, HA, PⅢP andⅣC after treatment was higher when compared with before treatment, the difference comparison was statistical significant.Conclusion: It could effectively improve coagulation function through treating primary liver cancer patients with TACE, however chemotherapy drug and embolotherapy would damage liver cells of patients and affect the liver function and liver fibrosis at some extent.
机译:目的:探讨经导管动脉化疗栓塞(TACE)对原发性肝癌患者凝血功能,肝功能和肝纤维化指标的影响。方法:118例原发性肝癌患者为观察组,100例进行健康检查-作为对照组。用TACE治疗1周后,比较对照组和观察组的凝血功能(APTT,PT和FIB),肝功能(TBIL,DBIL,IBIL,ALB和ALT)和肝纤维化指标(LN,HA,PⅢP和ⅣC)结果:观察组治疗后APTT,PT水平明显高于治疗前,且低于对照组,差异有统计学意义,观察组治疗后FIB水平明显低于对照组。与治疗前相比,明显高于对照组,差异有统计学意义。与治疗前的观察组相比,治疗后的TBIL,DBIL,IBIL,ALT水平明显升高,治疗后ALB水平明显降低,且治疗前后观察组的TBIL,DBIL,IBIL,ALT水平明显升高,ALB为低于对照组,差异有统计学意义;观察组治疗前后LN,HA,PⅢP,ⅣC水平明显高于对照组,治疗后LN,HA,PⅢP,ⅣC水平较治疗前明显升高,差异具有统计学意义。通过使用TACE治疗原发性肝癌患者可有效改善凝血功能,但是化学疗法和栓塞疗法会损害患者的肝细胞并在一定程度上影响肝功能和肝纤维化。

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  • 来源
    《海南医科大学学报(英文版)》 |2017年第12期|131-134|共4页
  • 作者单位

    Department of Gastroenterology in Xuzhou Central Hospital, Xuzhou Jiangsu 221009;

    Department of Gastroenterology in Xuzhou Central Hospital, Xuzhou Jiangsu 221009;

    Department of Gastroenterology in Xuzhou Central Hospital, Xuzhou Jiangsu 221009;

    Department of Gastroenterology in Xuzhou Central Hospital, Xuzhou Jiangsu 221009;

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