射频消融辅助肝切除术治疗原发性肝癌的临床应用研究  

A clinical study of radiofrequency ablation assited liver resection for the treatment of the patients with hepatocellular carcinoma

作　　者：张建[1] 袁庆忠[1] 潘国政[1] 郝龙[1] 由法平[1] 

机构地区：[1]胜利油田中心医院肝胆外科,山东东营257000

出　　处：《临床普外科电子杂志》2013年第4期28-30,34,共4页Journal of General Surgery for Clinicians(Electronic Version)

摘　　要：目的：探讨射频消融术在肝切除术中应用的可行性及有效性。方法回顾性分析2011年1月至2013年1月在本院施行射频辅助肝切除术的20例肝癌病人，其中12例为切缘射频治疗后行肝切除，8例为切肝后肝断面射频治疗，肿瘤平均直径为（4.7±2.7）cm。结果20例均顺利完成射频辅助肝切除术，射频治疗时间为（24.4±15.3）分钟，术中出血（130.7±22.5）ml，术后未发生上消化道出血、顽固性腹水、肝功能衰竭等并发症。随访12~24个月，5例出现肝内新发病灶，1例切缘复发，2例出现门脉癌栓，2例发生肺转移。结论射频消融辅助肝切除作为肝切除的一种手术方式，符合现代无血切肝的理念，具有术中出血少、切缘复发率低的优势，是一种有临床价值的切肝技术。Objective To evaluate the feasibility and efficacy of radiofrequency ablation(RFA) assited liver resection.Methods Twenty patients with liver cancer underwent RFA assited liver resection were retrospectively analysed,of which 12 underwent liver resection after margin of RFA and 8 did hepatic remnant of RFA after liver resection.The mean diameter of tumors was (4.7±2.7) cm. Results The 20 patients successfully underwent RFA assisted liver resection and the time of RFA was (24.4±15.3)minute,the blood loss during operation was (130.7±22.5)ml. There were no patients with the complications of upper gastrointestinal bleeding, refractory ascites, hepatic failure and so on. Following up 12~24 months, 5 patients appeared intrahepatic new metastasis lesions, 1 did margin recurrence of liver resection, 2 did tumor thrombus in the portal vein, 2 did pulmonary metastasis. Conlusion As a kind of liver resection, RFA assisted liver resection is in line with the modern idea of bloodless hepatectomy with less intraoperative bleeding, low recurrence of resectional margin.

关 键 词：肝切除 射频消融 肝脏肿瘤 

分 类 号：TN3[电子电信—物理电子学] R5[医药卫生—内科学]