CAJ | 학술논문

目的：探讨多极射频针射频消融肝癌的效果、安全性。方法对2005年6月～2012年12月收治的肝脏肿瘤90例的临床资料进行回顾性分析，以治疗后症状是否改善、肿瘤是否缩小、生化指标、AFP和CT增强扫描时病变区是否有强化来评价治疗效果。结果本组90例均完成治疗。术后4～12个月随访,56例完全坏死，26例明显坏死，18例部分坏死，CT检查证实瘤体体积缩小35%～90%，平均为60%。结论多极射频消融具有微创、高效、简单及安全的优点，是治疗肝脏肿瘤的有效方法。超出肿瘤灶的消融，其肿瘤复发率明显较单纯消融瘤灶低。
목적：탐토다겁사빈침사빈소융간암적효과、안전성。방법대2005년6월～2012년12월수치적간장종류90례적림상자료진행회고성분석，이치료후증상시부개선、종류시부축소、생화지표、AFP화CT증강소묘시병변구시부유강화래평개치료효과。결과본조90례균완성치료。술후4～12개월수방,56례완전배사，26례명현배사，18례부분배사，CT검사증실류체체적축소35%～90%，평균위60%。결론다겁사빈소융구유미창、고효、간단급안전적우점，시치료간장종류적유효방법。초출종류조적소융，기종류복발솔명현교단순소융류조저。
Objective To investigate effects and safety of multi-polar radiofrequency needle radiofrequency ablation of liver cancer.Method The clinical data of 90 cases were retrospectively analyzed from Jun 2005 to Dec 2012. The therapeutic effectiveness was evaluated by alleviation of symp toms,lesion shrinking,biochemical indicators ,AFP and enhanced CT scan.Results The 90 patients have completed treatment. After 4 to 12 months of follow-up, 56 cases completely destroyed, 26 cases signiifcantly damaged, 18 cases partly destroyed; CT scan conifrmed that shrunken range of tumors was 35%-90% (mean 60%).Conclusion RFA was a mini-invasive、effective、simple and safe method in the treatment of hepatic tumor. Beyond the scope of the tumor ablation, the tumor recurrence rate is obviously lower than a simple tumor ablation.