术中腹腔镜超声引导射频消融治疗小肝癌的临床探讨  

Radiofrequency ablation in the treatment of small liver cancer guided with intra-operative laparoscopic ultrasound

作　　者：潘景升[1] 李高鹏[1] 邓宝雯[1] 马健鸿[1] 王浩虎[1] 罗葆明[1] 陈亚进[2] 

机构地区：[1]广州市中山大学附属第二医院超声科,510120 [2]广州市中山大学附属第二医院肝胆外科,510120

出　　处：《上海医学影像》2011年第2期112-113,共2页Shanghai Medical Imaging

摘　　要：目的探讨术中腹腔镜超声引导射频消融(radiefrequency ablation,RFA)治疗小肝癌的疗效。方法回顾分析17例肝癌患者共25个病灶在术中腹腔镜超声引导下穿刺射频消融治疗的效果。结果 23个病灶术后1个月经超声造影和增强CT或MRI复查显示病灶完全坏死;2个病灶术后1个月复查显示病灶部分坏死,经过进行第2次治疗,其后1个月复查显示病灶完全坏死。现15例患者健在,生存期在5～22个月之间,仍在随访之中。结论术中腹腔镜超声引导射频消融治疗小肝癌的疗效良好,具有巨大的发展潜力。Objective To discuss the therapeutic effects of radiofrequency ablationin（RFA） in the treatment of small liver cancer guided with intra-operative laparoscopic ultrasound.Methods Seventeen patients with 25 lesions were retrospectively analyzed.All cases were treated by RFA guided with intra-operative laparoscopic ultrasound.Results Contrast-enhanced ultrasound and contrast-enhanced CT/MRI were performed on 17 patients one month after treatment.All necrotic lesions were detected in 23 lesions.Part of the necrotic lesions were detected in 2 lesions.The 2 lesions underwent a second treatment and all necrotic lesions were found within foci area after one month re-examination.Fifteen patients were alive with a survival period of 5~22 months.and were still followed-up.Conclusion Radiofrequency ablation guided with intra-operative laparoscopic ultrasound in the treatment of small liver cancer is a minimally invasive method with a good therapeatic effect and great potential.

关 键 词：腹腔镜超声 射频消融 肝癌 

分 类 号：R445.1[医药卫生—影像医学与核医学]