开腹射频消融治疗较大肝肿瘤近期疗效分析  

Laparotomy and Cool-tip radiofrequency ablation for large liver tumors： short-term results

作　　者：周武元[1] 李磊[1] 钟敬涛[1] 崔凯[1] 石学涛[1] 

机构地区：[1]山东省肿瘤医院肝胆外科,250117

出　　处：《中华肝胆外科杂志》2013年第9期677-680,共4页Chinese Journal of Hepatobiliary Surgery

摘　　要：目的探讨开腹Cool—tip冷循环单极射频消融治疗较大肝癌时射频针的排布方法，以提高较大肝癌的完全消融率。方法2002年8月至2007年8月，64例大肝癌患者采用开腹Cooltip冷循环单极射频消融。直径3．1～4．0cm的肿瘤至少使用7个消融点；4．I～5．0cm的肿瘤至少使用15个消融点；5．1～6．0cm的肿瘤需要19个消融点；6．1～7．0cm的肿瘤需要40个消融点，肿瘤可以被完全消融。结果开腹射频消融治疗大肝癌完全消融率达到93．75％（60／64），并发症发生率低，近期疗效好。结论开腹射频消融是不可切除大肝癌较好的根治性治疗手段。Objective To study the results of laparotomy and Cool-tip radiofrequency ablation to treat large liver tumors. Methods Laparotomy and Cool-tip radiofrequency ablation were carried out on 64 patients with large hepatic cancer. To destroy the tumor completely, for tumors of 3.0-4.0 cm in diameter, 7 ablations were required; for 4.0-5.0 cm in diameter 15 ablations- for 5.0-6.0 cm in diameter 19 ablations- for 6.0-7.0 cm in diameter 40 ablations. Result The complete necrosis rate of laparotomy and radiofrequency ablation was 93. 750/6o （60/64）. The short-term results were good. Conclusions Laparotomy and Cool-tip multipoint overlapping radiofrequency ablation for large liver tumors （tumor diameter-3 cm） could result in a high complete necrosis rate and a low complication rate. It is a good radical treatment for unresectable and large liver cancer.

关 键 词：射频消融 大肝癌 切腹术 

分 类 号：R735.7[医药卫生—肿瘤]