摘要
目的探讨影像引导下经皮肝穿刺微波消融术(PMWA)治疗原发性肝癌(PHC)的临床疗效。方法回顾性分析2008年12月至2012年10月解放军第401医院肿瘤科行微波消融术的62例PHC患者,观察肿瘤完全消融率、术后血清AFP、3年局部复发率、3年总体存活率及并发症。结果全组共进行经皮肝穿刺微波消融术95次,消融肿瘤病灶180枚,肿瘤完全消融率为99.4%,术后血清AFP较术前明显降低(P=0.02)、3年局部复发率6.1%(11/180),62例患者的3年总体存活率79%(49/62),术后严重并发症发生率3.2%(2/62)。结论经皮微波消融术是治疗原发性肝癌有效、安全的方式。
Objective To investigate the effects for the survival in the patients witliprimary hepaticcarcinoma） PHC） treated with percutaneous microwave ablation） PMWA）. Methods From December 2008 to October 2012,62 cases of PHC were treated by percutaneous microwave ablation. Complete ablation rate, AFP,local recurrence rate, 3-year overall survival rateand complication were analyzed. Results A total of95microwave ablation treatments were performed. Of the 62 patients,the complete ablation rate was 99. 4%. The AFP reduce obviously compared to pre-treatment） P =0. 02 ） . The 3-year overall survival rate was 79 % （49/62）,local recurrence rate was 6. 1% （11/180）and serious complications after operations rate was 3. 2% （2/62） respectively. Conclusion Percutaneous microwave ablation is aefficient and safe therapy for PHC.
出处
《中华消化病与影像杂志（电子版）》
2017年第4期159-162,共4页
Chinese Journal of Digestion and Medical Imageology(Electronic Edition)
关键词
原发性肝癌
微波消融术
疗效
primary hepatic carcinoma
microwave ablation
treatment outcome
