实用肿瘤学杂志
實用腫瘤學雜誌
실용종류학잡지
Practical Oncology Journal
2015年
5期
395-399
,共5页
肝癌%微波消融%CT引导
肝癌%微波消融%CT引導
간암%미파소융%CT인도
Primary liver cancer%Microwave ablation%CT-guided
目的 本文旨在研究微波消融治疗原发性肝癌的安全性、局部控制率及近期疗效. 方法 从2006年1月-2013年1月收集了187例肝癌患者,共209个病灶. 其中有112个为邻近肺、膈肌、腹壁、结肠、胃和胆囊区的病灶. 对以上209个病灶进行微波消融治疗,病灶平均直径为3.92 cm. 消融治疗后一个月行增强CT检查,术后每三个月对患者的影像学资料、肝功能、AFP水平及生活质量进行随访,评价其有效性. 结果 186个病灶达到完全消融,完全消融率为88 .99%. 对于<3 cm的病灶完全消融率可达100%. 23个病灶消融后出现局部肿瘤进展. 17例患者出现临床轻度并发症,轻微并发症发生率约为5.82%. 在本研究中未出现死亡及其他严重并发症. 结论 对于<5 cm的肝癌病灶,包括对位于特殊危险区域的肝癌病灶进行微波消融是安全可行的;尤其是对于<3 cm的小肝癌患者,微波消融可以显著延长患者生存期.
目的 本文旨在研究微波消融治療原髮性肝癌的安全性、跼部控製率及近期療效. 方法 從2006年1月-2013年1月收集瞭187例肝癌患者,共209箇病竈. 其中有112箇為鄰近肺、膈肌、腹壁、結腸、胃和膽囊區的病竈. 對以上209箇病竈進行微波消融治療,病竈平均直徑為3.92 cm. 消融治療後一箇月行增彊CT檢查,術後每三箇月對患者的影像學資料、肝功能、AFP水平及生活質量進行隨訪,評價其有效性. 結果 186箇病竈達到完全消融,完全消融率為88 .99%. 對于<3 cm的病竈完全消融率可達100%. 23箇病竈消融後齣現跼部腫瘤進展. 17例患者齣現臨床輕度併髮癥,輕微併髮癥髮生率約為5.82%. 在本研究中未齣現死亡及其他嚴重併髮癥. 結論 對于<5 cm的肝癌病竈,包括對位于特殊危險區域的肝癌病竈進行微波消融是安全可行的;尤其是對于<3 cm的小肝癌患者,微波消融可以顯著延長患者生存期.
목적 본문지재연구미파소융치료원발성간암적안전성、국부공제솔급근기료효. 방법 종2006년1월-2013년1월수집료187례간암환자,공209개병조. 기중유112개위린근폐、격기、복벽、결장、위화담낭구적병조. 대이상209개병조진행미파소융치료,병조평균직경위3.92 cm. 소융치료후일개월행증강CT검사,술후매삼개월대환자적영상학자료、간공능、AFP수평급생활질량진행수방,평개기유효성. 결과 186개병조체도완전소융,완전소융솔위88 .99%. 대우<3 cm적병조완전소융솔가체100%. 23개병조소융후출현국부종류진전. 17례환자출현림상경도병발증,경미병발증발생솔약위5.82%. 재본연구중미출현사망급기타엄중병발증. 결론 대우<5 cm적간암병조,포괄대위우특수위험구역적간암병조진행미파소융시안전가행적;우기시대우<3 cm적소간암환자,미파소융가이현저연장환자생존기.
Objective To evaluate the safety and local control rate and short term survival status of the treatment for primary liver cancer by microwave ablation.Methods From January 2006 to January 2014,a total of 209 lesions in which the average diameter was 3.92 cm in 187 patients was performed the microwave ablation therapy.There were 12 lessions adjacent to lung,diaphragm,abdominal wall,stomach,colon and gallbladder area. Enhanced CT examination was performed one month after ablation and the imaging data,liver function,AFP level and quality of life were followed up every three month to evaluate the effectiveness.Results 88.99 percent of le-sions achieved complete elimination after an average 1.35 times ablation.The completed elimination ratio for small lesions less than 3 cm was up to 100%.Local tumor progression occurred in 23 lesions.Seventheen patients had mild complications.The slight complication rate was about 5.82%.Death and other serious complications did not occur in this study.Conclusion Microwave ablation is safe and feasible for the lesions of liver cancer with live cancer less than 5 cm,which is located in the special dangerous area of liver cancer.Microwave ablation can significantly prolong the survival time of patients,especially for small HCC patients with <3cm.
