CAJ | 학술논문

经皮肝穿刺微波消融(PMCT)是目前不能手术的肝恶性肿瘤患者的有效局部治疗方法之一。对于不易消融的高危病灶，如邻近膈肌、消化道、肝门大血管或胆管及肝包膜的病灶，由于无法清晰分辨病灶及容易损伤紧邻组织器官，PMCT的严重并发症发生率高、局部复发率高，且死亡率增加。目前高危部位肝癌PMCT治疗有诸多探索，包括联合辅助技术、采用新的引导技术、联合其他局部治疗，以期在保证安全治疗的同时提高疗效。这些探索有望增加高危部位PMCT的治疗指征，使更多患者获益。本文主要对高危部位肝恶性肿瘤的微波消融治疗进展作一综述。
경피간천자미파소융(PMCT)시목전불능수술적간악성종류환자적유효국부치료방법지일。대우불역소융적고위병조，여린근격기、소화도、간문대혈관혹담관급간포막적병조，유우무법청석분변병조급용역손상긴린조직기관，PMCT적엄중병발증발생솔고、국부복발솔고，차사망솔증가。목전고위부위간암PMCT치료유제다탐색，포괄연합보조기술、채용신적인도기술、연합기타국부치료，이기재보증안전치료적동시제고료효。저사탐색유망증가고위부위PMCT적치료지정，사경다환자획익。본문주요대고위부위간악성종류적미파소융치료진전작일종술。
Percutaneous microwave coagulation (PMCT) of local treatment is the most effective methods in unresectable liver cancer at present. For the difficult ablation of high-risk lesions, such as focus close to the panbiediaphragm, gastrointestinal, hepatic portal or liver capsule, because unable to distinguish lesions clearly then easy to damage adjacent tissues or organs, thus PMCT has high incidence of severe complications and local recurrence rate and mortality. There is many explores about liver PMCT of high-risk lesions at present, including the United assistive technology, using a new boot technology, combined with other local treatments, in order to ensure the safety and improve the efficacy of treatment. These explorations wil enlarge indicatio curative of the PMCT to high-risk lesions, so that more patients benefit. This paper focuses on PMCT of high-risk lesions progress are reviewed.