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Chinese Herbal Medicine, Jian Pi Li Gan Decoction, Improved Survival of Nonresectable Hepatocellular Cancer After Radiofrequency Ablation: A Retrospective Study

机译:健脾理肝汤加减射频消融治疗不可切除肝细胞癌生存率的回顾性研究

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Objective: To observe the effect of Jian Pi Li Gan Decoction (JPLGD) on long-term survival of nonresectable hepatocellular cancer (HCC) after radiofrequency ablation (RFA). Methods: Between January 2010 and February 2013, 95 patients with nonresectable HCC treated by RFA in our hospital were enrolled, of whom 47 patients received JPLGD accompanying RFA (JPLGD group), and 48 patients received RFA alone (control group). Medical records of these patients were retrospectively analyzed. Long-term survival, complication, and treatment event were compared. Results: Baseline characteristics did not differ between the 2 groups. No significant adverse effects or toxicities related to herbal medicine were found. The JPLGD group had significantly less liver failure (3/47 vs 10/48, P = .0405) and a higher treatment success rate than the control group (44/47 vs 37/48, P = .0230). The 3-year overall survival probability was significantly higher in the JPLGD group (P = .0175). Conclusion: JPLGD has the potential to effectively and safely improve long-term survival of nonresectable HCC by increasing treatment success of RFA.
机译:目的:观察健脾理肝汤(JPLGD)对射频消融(RFA)后不可切除的肝细胞癌(HCC)长期生存的影响。方法:2010年1月至2013年2月,我院收治经RFA治疗的95例不可切除的HCC患者,其中47例接受JPLGD联合RFA治疗(JPLGD组),48例接受RFA治疗(对照组)。回顾性分析这些患者的病历。比较了长期生存,并发症和治疗事件。结果:两组的基线特征无差异。未发现与草药相关的明显不良反应或毒性。与对照组相比,JPLGD组的肝衰竭明显更少(3/47 vs 10/48,P = .0405),并且治疗成功率更高(44/47 vs 37/48,P = .0230)。 JPLGD组的3年总生存率显着更高(P = .0175)。结论:JPLGD有潜力通过增加RFA的治疗成功率来安全有效地改善不可切除HCC的长期存活率。

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