CAJ | 학술논문

目的：探讨超声引导下射频消融方法治疗肝癌的安全性与临床效果。方法选取我院2010年7月～2013年7月收治的35例肝癌患者，共61个病灶实施超声引导下经皮射频消融治疗，观察患者并发症情况及肿瘤消融情况，对比分析治疗前后的甲胎蛋白值、肿瘤大小及瘤体内的血供情况。结果所有病灶均消融成功，无严重并发症发生。经过4～15个月随访，复发13例，均给予再次射频消融。结论经皮射频消融治疗肝癌是一种安全、有效的热消融治疗技术，值得临床推广应用。
목적：탐토초성인도하사빈소융방법치료간암적안전성여림상효과。방법선취아원2010년7월～2013년7월수치적35례간암환자，공61개병조실시초성인도하경피사빈소융치료，관찰환자병발증정황급종류소융정황，대비분석치료전후적갑태단백치、종류대소급류체내적혈공정황。결과소유병조균소융성공，무엄중병발증발생。경과4～15개월수방，복발13례，균급여재차사빈소융。결론경피사빈소융치료간암시일충안전、유효적열소융치료기술，치득림상추엄응용。
Objective To discuss the safety and therapeutic effect of ultrasound-guided radiofrequency ablation (RFA ) for hepatocellular carcinoma (HCC) .Methods A retrospective study was conducted with RFA on the clinical date of 61 nodules in 35 patients from July 2011 to July 2014 in our hospital .The complications and the tumor’s ablation were ob-served ,and then the comparative analysis of alpha-fetoprotein values before and after treatment ,tumor size and intratu-moral blood supply situation were performed .Results All lesions were successfully ablated and no complications oc-curred .After follow-up for 4 months to 15 months ,11 cases were observed recurrence ,which were given secondary RFA . Conclusion RFA of HCC guided by ultrasound is safe and effective thermal ablation technique ,worthy of clinical applica-tion .