射频消融治疗26例第二肝门区肝癌  

Radiofrequency Ablation in the Treatment of 26 Cases with Liver Cancer Located in the Second Hepatic Portal

作　　者：夏念信[1] 翟博[2] 李小燕[2] 刘晟[2] 

机构地区：[1]北京海军总医院,北京100048 [2]上海第二军医大学附属东方肝胆外科医院,上海200438

出　　处：《肿瘤学杂志》2009年第10期917-921,共5页Journal of Chinese Oncology

摘　　要：[目的]探讨第二肝门区肝癌射频消融的治疗结局。[方法]2006年1月～2008年1月26例第二肝门区肝癌患者的32个肿瘤接受了35次超声引导下经皮穿刺射频消融。[结果]26例患者初次射频消融第二肝门区肿瘤30个,22例患者的25个肿瘤完全消融,完全消融率84.6%。<3cm、3～4cm和>4cm的肿瘤完全消融率分别为91.3%、66.7%和0,差异有显著性(P=0.027)。26例中的9例因局部肿瘤残留、复发、新生等原因接受多次射频消融,26例患者共接受35次射频消融,32个肿瘤中完全消融29个,总体完全消融率90.6%(29/32)。无射频相关死亡发生,2例发生明显胸水,1例发生胆脂瘤并发肝内感染,3例发生局部复发。全组5例死亡,总体存活率80.8%。1年总体生存率86.7%,1年无复发生存率为71.4%。[结论]在熟知第二肝门区解剖特征、射频消融操作水平较好的情况下,射频消融治疗第二肝门区肝癌疗效确切、安全可靠。[Purpose] To investigate the outcome of radiofrequency ablation (RFA) in treatment for liver cancer located in the second hepatic portal. [Methods] From Jan. 2001 to Jan. 2008, 26 cases with liver cancer located in the second hepatic portal of 32 tumors were treated with 35 times under ultrasound-guided percutaneous RFA. [Results] The initial radiofrequency ablation for 26 cases with 30 liver cancer located in the second hepatic portal, 22 cases with 25 tumor was complete ablation, complete ablation rate wa...

关 键 词：肝肿瘤 射频消融 第二肝门 

分 类 号：R735.7[医药卫生—肿瘤]