摘要
目的:探讨腹腔镜引导冷循环微波刀治疗肝脏肿瘤的可行性。方法:回顾分析2006年6月至2009年3月我院应用腹腔镜引导冷循环微波刀治疗21例肝肿瘤患者的临床资料,其中原发性小肝癌9例,肝癌术后复发5例,转移性肿瘤4例,肝良性肿瘤3例。结果:21例肝肿瘤患者均于腹腔镜下准确穿刺定位,肿瘤微波烧灼固化过程及范围满意;全组患者术后1～6个月复查B超或CT,17例肿瘤缩小,19例肿瘤内及肿瘤旁血流信号消失。结论:应用腹腔镜引导冷循环微波刀治疗肝肿瘤较B超或CT引导更直观,穿刺定位准确可靠,肿瘤治疗程度及范围容易掌控,并可同时处理多处病变,获取可靠病理结果,值得临床应用。
Objective ： To discuss the feasibility of the treatment of liver tumors using the laparoscopy directed psychro-circulation percutaneous microwave coagulation therapy. Methods：Clinical data of 21 cases with hepatic tumors who underwent laparoscopy directed psychro-circulation percutaneous microwave coagulation therapy between Jun. 2006 and Mar. 2009 were retrospectively analyzed, of which 9 cases with primary small hepatocellular carcinoma,4 cases with metastatic tumors,5 cases with recurrent liver cancer,3 cases with benign liver tumor. Results ： All patients were successfully treated under the direction of laparoscopy. All patients were followed up from 1 to 6 months with ultrasonograph or computed tomography. The diameter of tumors was diminished in 17 patients. No intratumoral or para-tumoral blood signal was detected in 19 cases. Conclusions：The application of laparoscopic-guided psychro-cireulation percutaneous microwave coagulation therapy of liver tumors is more intuitive and reliable, and can deal with multiple lesions.
出处
《腹腔镜外科杂志》
2009年第10期768-769,共2页
Journal of Laparoscopic Surgery
关键词
肝肿瘤
腹腔镜检查
微波刀
穿刺定位
Liver neoplasms
Laparoscopy
Microwave knife
Puncture localization
