摘要
目的：探讨多极射频针射频消融肝癌的效果、安全性。方法对2005年6月～2012年12月收治的肝脏肿瘤90例的临床资料进行回顾性分析，以治疗后症状是否改善、肿瘤是否缩小、生化指标、AFP和CT增强扫描时病变区是否有强化来评价治疗效果。结果本组90例均完成治疗。术后4～12个月随访,56例完全坏死，26例明显坏死，18例部分坏死，CT检查证实瘤体体积缩小35%～90%，平均为60%。结论多极射频消融具有微创、高效、简单及安全的优点，是治疗肝脏肿瘤的有效方法。超出肿瘤灶的消融，其肿瘤复发率明显较单纯消融瘤灶低。
Objective To investigate effects and safety of multi-polar radiofrequency needle radiofrequency ablation of liver cancer.Method The clinical data of 90 cases were retrospectively analyzed from Jun 2005 to Dec 2012. The therapeutic effectiveness was evaluated by alleviation of symp toms,lesion shrinking,biochemical indicators ,AFP and enhanced CT scan.Results The 90 patients have completed treatment. After 4 to 12 months of follow-up, 56 cases completely destroyed, 26 cases signiifcantly damaged, 18 cases partly destroyed; CT scan conifrmed that shrunken range of tumors was 35%-90% （mean 60%）.Conclusion RFA was a mini-invasive、effective、simple and safe method in the treatment of hepatic tumor. Beyond the scope of the tumor ablation, the tumor recurrence rate is obviously lower than a simple tumor ablation.
出处
《当代医学》
2014年第10期31-32,共2页
Contemporary Medicine
