CAJ | 학술논문

目的评价CT引导下经皮射频消融(RFA)治疗肝癌的临床疗效.方法对60例肝癌患者行CT引导下射频消融治疗,共73处病灶,肿瘤大小1.4～7.0 cm,平均4.2 cm,术后1个月行增强CT、甲胎蛋白(AFP)检测,以评价射频消融的治疗效果.结果 60例患者中45例病灶完全坏死,内部及边缘无明显强化;50例术前AFP升高的原发性肝癌患者39例AFP下降.并发症中2例顽固性呃逆,1例肝脓肿,3例出现表皮烫伤,2例肝内出血.结论 CT导引下射频消融治疗肝癌具有安全、微创的特点,可达到类似外科手术切除的效果.
목적 평개CT인도하경피사빈소융(RFA)치료간암적림상료효.방법 대60례간암환자행CT인도하사빈소융치료,공73처병조,종류대소1.4～7.0 cm,평균4.2 cm,술후1개월행증강CT、갑태단백(AFP)검측,이평개사빈소융적치료효과.결과 60례환자중45례병조완전배사,내부급변연무명현강화;50례술전AFP승고적원발성간암환자39례AFP하강.병발증중2례완고성애역,1례간농종,3례출현표피탕상,2례간내출혈.결론 CT도인하사빈소융치료간암구유안전、미창적특점,가체도유사외과수술절제적효과.
Objective To evaluate the therapeutic effcacy with CT-guided percutaneous radiofrequency ablation(RFA)for the liver tumor.Methods 60 cases of patients with a total of 73 lesions were treated with radio-frequency ablation.The diameter of the lesions was 1.4～7.0cm.with a mean diameter of 4.2cm.The therapeutic efficacy was evaluated with enhanced CT scanning and AFP.Results 45 patients of 60 cases with lesions were full damaged,no blood flow Was found on enhanced CT scans.39 patients with significantly increased blood-AFP before treatment were decreased significantly after treatment,Complications occured in 11 patients,including refractory hiccup (n=2),epidermal scald(n=3),intrahepatic hemorrhage(n=2)and hepatic abscess(n=1).Conclusion The radiofrequency ablation was simple and effective treatment of liver tumor.The effect could be similar to that of surgical resection.