CAJ | 학술논문

目的探讨开腹Cool-tip冷循环单极射频消融治疗较大肝癌时射频针的排布方法,以提高较大肝癌的完全消融率.方法 2002年8月至2007年8月,64例大肝癌患者采用开腹Cool-tip冷循环单极射频消融.直径3.1～4.0 cm的肿瘤至少使用7个消融点；4.1～5.0 cm的肿瘤至少使用15个消融点；5.1～6.0 cm的肿瘤需要19个消融点；6.1～7.0 cm的肿瘤需要40个消融点,肿瘤可以被完全消融.结果开腹射频消融治疗大肝癌完全消融率达到93.75％(60/64),并发症发生率低,近期疗效好.结论开腹射频消融是不可切除大肝癌较好的根治性治疗手段.
목적 탐토개복Cool-tip랭순배단겁사빈소융치료교대간암시사빈침적배포방법,이제고교대간암적완전소융솔.방법 2002년8월지2007년8월,64례대간암환자채용개복Cool-tip랭순배단겁사빈소융.직경3.1～4.0 cm적종류지소사용7개소융점；4.1～5.0 cm적종류지소사용15개소융점；5.1～6.0 cm적종류수요19개소융점；6.1～7.0 cm적종류수요40개소융점,종류가이피완전소융.결과 개복사빈소융치료대간암완전소융솔체도93.75％(60/64),병발증발생솔저,근기료효호.결론 개복사빈소융시불가절제대간암교호적근치성치료수단.
Objective To study the results of laparotomy and Cool-tip radiofrequency ablation to treat large liver tumors.Methods Laparotomy and Cool-tip radiofrequency ablation were carried out on 64 patients with large hepatic cancer.To destroy the tumor completely,for tumors of 3.0～4.0 cm in diameter,7 ablations were required; for 4.0～5.0 cm in diameter 15 ablations; for 5.0～6.0 cm in diameter 19 ablations; for 6.0～7.0 cm in diameter 40 ablations.Result The complete necrosis rate of laparotomy and radiofrequency ablation was 93.75％ (60/64).The short-term results were good.Conclusions Laparotomy and Cool-tip multipoint overlapping radiofrequency ablation for large liver tumors (tumor diameter＞3 cm) could result in a high complete necrosis rate and a low complication rate.It is a good radical treatment for unresectable and large liver cancer.