黎经何 史政荣

    [摘要] 经导管动脉栓塞术(TACE)作为肝癌完整切除术后重要的辅助治疗手段，其作用已逐渐得到临床医师的重视。目前的研究认为肝癌切除术后复发与潜在微小病灶未能发现有关。由于肝癌组织的血液供应主要来源于肝动脉，因此术后辅助TACE可导致栓塞区域的肿瘤组织缺血和坏死，有利于消除小的残留癌灶，理论上可以减少复发和延长生存期。但实际临床疗效和应用范围仍然是目前探索及研究的焦点。本文就TACE的应用时机、适用人群、运用模式、疗效检测方面研究进展进行阐述。

    [关键词] 原发性肝癌;经导管动脉栓塞术;辅助治疗

    [中图分类号] R6? ? ? ? ? [文献标识码] A? ? ? ? ? [文章编号] 1673-7210(2020)01(c)-0034-04

    Research progress on adjuvant transcatheter arterial chemoembolization in postoperative hepatocellular carcinoma

    LI Jinghe? ?SHI Zhengrong

    Liver Transplantation Center， Department of Hepatobiliary Surgery， the First Affiliated Hospital of Chongqing Medical University， Chongqing? ?400016， China

    [Abstract] Transcatheter arterial chemoembolization (TACE) has become an important adjuvant therapy in postoperat -ive hepatocellular carcinoma， and the effect of TACE has gradually gained the attention of clinicians. The current study suggests that recurrence after hepatocellular carcinoma resection is related to the failure to detect potential microscopic lesions in time. Since the blood supply to liver cancer tissue is mainly derived from the hepatic artery ......