CAJ | 학술논문

目的探讨微波治疗肝恶性肿瘤的疗效.方法 19例肝恶性肿瘤患者在局麻下,微波刀在CT引导下经皮穿刺入肝恶性肿瘤瘤体内,对其进行热凝治疗.结果 19例患者23个瘤体中≤3.5 cm 13个能1次手术热凝损毁,其中10个经CT随访6～12月,瘤体损毁区未见复发.＞3.5 cm 10个经多点和/或多角度治疗,术后3～6月CT复查6个全部损毁,4个大部损毁,经2次热凝3月后CT复查3个瘤体全部损毁.未发生明显并发症.结论 CT引导下微波治疗肝恶性肿瘤,对于直径≤3.5 cm的瘤体治疗效果非常可靠,对于直径＞3.5 cm的瘤体可以达到大部分或完全损毁.
목적 탐토미파치료간악성종류적료효.방법 19례간악성종류환자재국마하,미파도재CT인도하경피천자입간악성종류류체내,대기진행열응치료.결과 19례환자23개류체중≤3.5 cm 13개능1차수술열응손훼,기중10개경CT수방6～12월,류체손훼구미견복발.＞3.5 cm 10개경다점화/혹다각도치료,술후3～6월CT복사6개전부손훼,4개대부손훼,경2차열응3월후CT복사3개류체전부손훼.미발생명현병발증.결론 CT인도하미파치료간악성종류,대우직경≤3.5 cm적류체치료효과비상가고,대우직경＞3.5 cm적류체가이체도대부분혹완전손훼.
Objective To study the value of microwave coagulation therapy for liver malignant tumors.Methods Under local anesthesia,19 cases with hepatic malignant tumors treated with microwave knife under CT-guided.Results There were totally 23 tumors in 19 cases,13 tumors with≤3.5 cm in diameters were destroyed absolutely after the first treatmet,10 tumors among them were followed-up for 6-12 months and no recurred.10 tumors with＞3.5 cm in diameters treated at multiple points or angle,3～6 months later,CT showed that the tumors were destroyed completely in 6 and mostly in 4,by the hot condensate treatment secondly,3 tumors of 4 were destroyed completely 3 months later.There were no obvious complications.Conclusion The therapeutic effect under CT-guided microwave coagulation therapy for liver tumor which are ≤3.5 cm in diameter of the tumors is very reliable,the tumors＞3.5 cm in diameter can be destroyed mostly or completely by microwave treatment.