Quantification analysis of prognostic factors in patients with hepatocellular carcinoma treated by transcatheter arterial embolization.

概要

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In a retrospective study, we selected 40 patients with hepatocellular carcinoma treated by transcatheter arterial embolization (TAE) in whom no obstruction of the first or second branches of the portal vein was recognized and divided them into two groups. One group consisted of 26 patients who died within two years (_??_2yr) after TAE, and the other group consisted of 14 patients who survived longer (_??_2yr). Fifteen parameters (age, sex, eleven liver function tests, ascites, and esophageal varices) were compared. Six were statistically significant and one, though not significant, seemed important. These seven parameters were analyzed using the theory of quantification. Results showed that esophageal verices, the hepaplastin test, the indocyanine green test, and serum albumin would be most useful in discriminating between the two groups. By employing these four parameters, the outcome could be correctly predicted in 35 of the 40 patients (87.5%).
財団法人日本消化器病学会の論文