摘要
目的探讨射频消融术(RFA)治疗原发性肝癌的临床应用价值。方法对32例原发性肝癌,在局麻及B超引导下,射频电极经皮经肝穿刺入肝癌瘤体内,对其进行射频消融。结果本组32例中有81%患者术后自觉症状明显改善,61%的AFP值下降;术后1M78%的肿瘤体积缩小40%～50%;术后2M,31%瘤体缩小50%～60%;本组无严重并发症。结论 RFA治疗原发性肝癌具有明显的临床效果,是治疗原发性肝癌一种安全、有效的方法,可提高肿瘤完全毁损率并延长患者生存期。
Objective： To investigate clinical value of radiofrequency ablation（RFA） on the therapy for primary carcinoma of the liver.Methods： Under local anesthesia and the guidance of type-B ultrasound,32 patients with primary hepatocellular carcinoma underwent RFA by percutaneous transhepatic puncture with RF electrodes entering the tumor.Results： Of 32 patients,81% of the patients significantly improved symptoms after the surgery and AFP values of 61% of the patients decreased;the tumor size of 78% patients decreased by 40-50% one month after the operation and 31% patients decreased by 50-60% 2 months after the operation;there were no severe complications.Conclusion： RFA has a favorable clinical outcome in the treatment of primary hepatocellular carcinoma.It is a safe and effective way,which can increase tumor complete damage rate and prolong patients＇ survival time.
出处
《泰山医学院学报》
CAS
2011年第5期361-363,共3页
Journal of Taishan Medical College
关键词
射频消融
原发性肝癌
毁损率
radiofrequency ablation
primary carcinoma of the liver
damage rate
作者简介
孔祥建（1663-），男，山东邹城人，副主任医师，主要从事消化系疾病和消化系肿瘤的诊断和治疗。
