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经皮射频消融治疗肝癌的预后分析 被引量:2

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摘要 目的探讨应用射频消融(RFA)进行肝癌治疗的有效性。方法回顾性分析自2006年1月至今本院的156例进行RFA治疗性肝癌患者,治疗后无死亡,未出现严重并发症。7例术后出现肝区疼痛及低热对症治疗1~2天治愈。1例出现轻度黄疸,10例肝功能轻度损害,经保肝、对症治疗后好转。术后3周B超及增强CT检查显示,肿瘤所在区域完全坏死率96.2%(150/156);AFP转阴率91.1%(92/101)。术后1年随访150例肿瘤所在区域完全坏死者中,13例患者AFP检测阳性(>20ng/L),总复发率为8.3%,所复发的13例患者肿瘤直径均≥5.0cm。死亡6例,为肿瘤直径≥5.0cm,RFA治疗肿瘤区域未完全坏死者,总死亡率为3.8%。结论应用射频消融进行肝癌治疗是一种安全,有效的治疗肝癌的新方法。
作者 徐樟群
出处 《浙江创伤外科》 2011年第6期822-823,共2页 Zhejiang Journal of Traumatic Surgery
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