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目的 总结超声引导经皮肝穿多弹头射频治疗肝癌的疗效。方法 对 31例肝癌 34次射频治疗 ,通过治疗前后肿瘤的大小 ,病人自觉症状和AFP值改变进行对比观察。结果 31例于治疗后 1周、1 0例治疗后 30天 ,3例半年进行B超及CT复查结果 ,1周后 80 %病人瘤体缩小为 30 %以上 ,30天后瘤体缩小在 40 %以上 ,与术前比较 7例瘤内血供消失 ,2例血流减少 ,84%病人自觉症状改善 ,AFP下降者占 77 8% ,无手术死亡。结论 超声引导经皮肝穿多弹头射频治疗杀伤肿瘤较彻底 ,对机体损害较轻 ,疗效确切而满意 ,是当前世界上较先进的“导向治疗法
Objective To summarize the curative effect of ultrasound guided percutaneous transhepatic multiple warhead radiofrequency ablation on liver cancer. Methods Totally 31 cases of HCC were treated with radiofrequency 34 times. The size of the tumor before and after treatment, the patients’ symptoms and AFP value were compared. Results 31 cases were treated with 1 week after treatment, 10 cases treated with 30 days and 3 cases with B-mode ultrasound and CT examination. After 1 week, 80% of the patients reduced to more than 30%, and after 30 days, the tumors reduced to 40% Compared with preoperative, 7 cases of tumor blood supply disappeared, 2 cases of blood flow decreased, 84% of patients with symptoms improved, AFP decreased accounted for 77.8%, no surgical death. Conclusion Ultrasound-guided percutaneous transhepatic multiple warhead radiofrequency treatment is more complete in killing the tumor, less damaging to the body, satisfying and exacting effect. It is the most advanced “guide therapy” in the world