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目的 :总结多电极射频治疗肝癌的近期疗效、适应证与并发症。方法 :对 62例肝癌患者行 82次射频治疗 ,通过治疗前后肿瘤大小的比较 ,患者自觉症状的改善情况和AFP值改变进行对比观察。结果 :62例次于治疗后 1 0 d,30例次于治疗后 30 d,1 0例次于治疗后 60 d,进行了彩色 B超及 CT复查 ,1 0 d后 72 %患者肿瘤体积缩小在 2 0 %以上 ,30 d后80 %患者肿瘤体积缩小在 30 %以上 ,部分瘤体钙化或呈均质低密度区。 60 d后 5例患者肿瘤体积缩小在 5 0 %以上。与术前相比全部瘤体内血供消失。80 %患者自觉症状改善、其 AFP值下降者占 5 5 % ,无手术死亡 ,术后并发症为 35 .5 %。结论 :B超引导下多电极射频治疗中晚期肝癌效果确切而满意。
Objective: To summarize the recent efficacy, indications and complications of multi-electrode radiofrequency ablation of liver cancer. Methods: Totally 62 radiofrequency radiofrequency ablation patients were treated with radiofrequency ablation in 62 patients with hepatocellular carcinoma (HCC). The comparison of tumor size before and after treatment, improvement of patients’ symptoms and change of AFP value were compared. Results: Sixty-two cases were observed after 10 days, 30 cases were treated 30 days after treatment, and 10 cases were treated 60 days after treatment. Color B-mode ultrasonography and CT were performed. In 72% of cases, tumor size was reduced More than 20%, 30 days after 80% of patients with tumor size decreased by more than 30%, some of the tumor calcification or homogeneous low density area. After 60 days, the tumor volume of 5 patients shrank by more than 50%. Compared with preoperative blood in the entire tumor disappeared. 80% of patients with symptoms improved, the AFP value decreased by 5 5%, no operative death, postoperative complications was 35.5%. Conclusion: B ultrasound-guided multi-electrode radiofrequency treatment of advanced liver cancer with exact and satisfactory.