冷循环射频消融治疗肝脏肿瘤42例报告  

Cool-tip radiofrequency thermal ablation of malignant hepatic tumors: a report of 42 cases

作　　者：袁庆忠[1] 蒋正怀[1] 赵希学[1] 姚林果[1] 牟东坡[1] 

机构地区：[1]胜利石油管理局中心医院普外科,山东东营257034

出　　处：《肿瘤防治杂志》2005年第21期1665-1666,共2页China Journal of Cancer Prevention and Treatment

摘　　要：探讨冷循环射频消融治疗肝脏肿瘤的可行性和有效性。应用冷循环电极射频消融治疗42例肝脏肿瘤60个结节。37例在局麻超声引导下、2例在腹腔镜辅助下和3例在开腹术中行射频消融,射频消融治疗75点次。治疗后通过CT和MR随访,随访时间2～14个月,肿瘤完全低密度灶者占70%(42/60),增强扫描局部病灶有强化(残留或复发)8.3%(5/60)。初步研究结果提示,冷循环射频消融治疗肝脏肿瘤是有效和安全的。The objective of this study was to evaluate the feasibility and efficiency of radiofrequency thermal ablation （RFA） for malignant hepatic tumors with ultrasound-guided cooled-tip electrodes. Fouty-two patients with 60 tumors were treated with cool-tip RFA. Of these, 37 cases were treated percutaneously with ultrasound guided RFA, 2 cases treated by laparoscope and other 3 cases treated by RFA during operation. RFA were performed 75 times in all. Follow-up by CT and MR was performed after the treatment of 2--14 months, and 70% （42/60） of the entire tumor nodules were confirmed having complete necrosis and 8.3 % （5/60） of the patients were found having residual nodules and recurrence. In conclusion, radiofrequency thermal ablation is safe and efficient.

关 键 词：肝肿瘤/治疗 导管消融术 电极 肝肿瘤/超声检查 

分 类 号：R735.7[医药卫生—肿瘤]