RESUMO
OBJECTIVE@#To evaluate the comparative therapeutic efficacy of radiofrequency ablation (RFA) and hepatic resection (HR) for breast cancer liver metastases (BCLMs).@*METHODS@#Studies that had examined the outcomes for both RFA and HR for BCLM were identified by searching the electronic databases PubMed, EMBASE, and the Cochrane Library. Pooled analyzes of the overall survival (OS), disease-free survival (DFS), and short-term outcomes of BCLM were performed.@*RESULTS@#Patients with BCLM gained many more survival benefits from HR than from RFA with regard to the 3-year OS rate (combined odds ratio (OR) 0.41, 95% confidence interval (CI) 0.29-0.59, P<0.001), 5-year OS rate (combined OR 0.38, 95% CI 0.32-0.46, P<0.001), 3-year DFS (combined OR 0.36, 95% CI 0.27-0.49, P<0.001), and 5-year DFS (combined OR 0.51, 95% CI 0.40-0.66, P<0.001). RFA had fewer postoperative complications (combined OR 0.30, 95% CI 0.20-0.44, P<0.001) and shorter hospital stays (combined OR -9.01, 95% CI -13.49-4.54, P<0.001) than HR.@*CONCLUSIONS@#HR takes precedence over RFA in the treatment of patients with BCLM, considering the better survival rate. RFA gives rise to fewer complications and can be carried out with a shorter hospital stay, compared to HR. RFA should be reserved for patients who are not optimum candidates for resection.
Assuntos
Idoso , Feminino , Humanos , Pessoa de Meia-Idade , Neoplasias da Mama/cirurgia , Carcinoma Hepatocelular/cirurgia , Ablação por Cateter , Intervalo Livre de Doença , Hepatectomia , Tempo de Internação , Fígado/cirurgia , Neoplasias Hepáticas/cirurgia , Razão de Chances , Prognóstico , Ablação por Radiofrequência , Taxa de Sobrevida , Resultado do TratamentoRESUMO
<p><b>OBJECTIVE</b>To compare therapeutic effects of acupuncture plus massage and medicine on chilblains.</p><p><b>METHODS</b>Two hundred and sixty-four cases of chilblains were randomly divided into an acupuncture group of 136 cases and a medicine group of 128 cases. The acupuncture group were treated by acupuncture at 9 acupoints such as Yamen (GV 15), Laogong (PC 8), Sanyinjiao (SP 6), etc. plus massage, and the medicine group by dong chuang Plaster.</p><p><b>RESULTS</b>In the acupuncture group, 111 cases were cured and 136 cases were effective, the effective rate being 100.0%; and in the medicine group, 55 cases were cured and 98 cases were effective, the effective rate being 76.6%, with a very significant difference between the two groups in the therapeutic effect (P < 0.01).</p><p><b>CONCLUSION</b>Acupuncture plus massage is superior to dong chuang plaster in therapeutic effect on chilblains.</p>