CT引导下多极射频消融治疗少血供型肝癌的研究  

Application of treatment with radiofrequency ablation in primary hepatocellular carcinoma of poorly blood supplying by CT guide

作　　者：神兆玉[1] 王吉明[2] 胡效坤[1] 

机构地区：[1]山东大学齐鲁医院平邑分院放射科,山东平邑273300 [2]山东省平阴县人民医院放射科,山东平阴250400

出　　处：《医学影像学杂志》2011年第7期1019-1023,共5页Journal of Medical Imaging

摘　　要：目的:研究CT引导下多极射频消融治疗少血供型肝癌的方法和疗效。方法:选择通过3期CT增强扫描并经穿刺活检病理证实的少血供型肝癌45例,行CT引导下多极射频消融治疗。结果:45例治疗后3月、6月、12月、24月AFP下降率依次是:100%(45/45)、100%(45/45)、100%(45/45)、86.7%(39/45);肿瘤局部控制率依次是:100%(45/45)、100%(45/45)、95.6%(43/45)、91.1%(41/45);生存率依次是:100%(45/45)、100%(45/45)、97.8%(44/45)、93.3%(42/45)。结论:CT引导下多极射频消融治疗少血供型肝癌,定位准确,是提高治疗局部控制率和生存率的有效方法。Objective： To discuss the method and effect of primary hepatocellular carcinoma of poorly blood supplying treatment with radiofrequency ablation by CT guided. Methods：Select 45 cases primary hepatocellular carcinoma of poorly blood supplying, All the cases had been diagnosed by 3-stages spiral CT scanning and confirmed pathologically. The tumor had been treated by RFA. Results： The rate of the decline in serum AFP level and the efficiency after 3-, 6-, 12-, 24- month treatment were 100%（45/45）, 100% （45/45）, 100%（45/45）, 86.7%（39/45） and 100% （45/45）, 100%（45/45）, 95.6%（43/45）, 91.1%（41/45）. The 3-, 6-, 12-, 24-month survival rates were 100%（45/45）, 100%（45/45）, 97.8% （44/45）, 93.3 % （42/45）. Conclusion： Treatment with radiofrequency ablation by CT guided is an efficient method for increasing the part control and survival rate for primary hepatoeellular carcinoma of poorly blood supplying.

关 键 词：肝癌 少血供 射频消融 放射学 介入性 体层摄影术 X线计算机 

分 类 号：R735.7[医药卫生—肿瘤] R814.42[医药卫生—临床医学]