高能超声聚焦刀联合动脉栓塞治疗小肝癌  

High-energy Ultrasonic Focusing Knife Combined with Arterial Embolism in the Treatment of Small Hepatocellular Carcinoma

作　　者：赵英超[1,2] 

机构地区：[1]新乡医学院,河南新乡453003 [2]三门峡市中医院功能科,河南三门峡472000

出　　处：《肿瘤基础与临床》2015年第2期127-129,共3页journal of basic and clinical oncology

摘　　要：目的探讨高能超声聚焦刀(HIFU)联合动脉栓塞治疗单发性小肝癌的价值。方法经病理证实的小肝癌患者70例随机分为2组,每组35例,A组行传统治疗方案及动脉栓塞,B组行肿瘤部位动脉栓塞的同时行HIFU。结果 A组治疗后1个月复查肿瘤缩小者16例,完全坏死液化0例,稳定无明显缩小3例,肿瘤增大或扩散转移16例;B组治疗30 min后所有肿瘤治疗部位回声增强,彩色多普勒血流减少,临床治疗1个月后复查肿瘤缩小者24例,完全坏死液化3例,稳定无明显缩小2例,肿瘤增大或扩散转移6例。结论 HIFU联合动脉栓塞治疗小肝癌安全有效。Objective To study the high-energy ultrasonic focusing knife （HIFU） combined with arterial embolism in the treatment of small hepatocellular carcinoma. Methods Seventy patients with small hepatocellular carcinoma were randomly divided into two groups, each group of 35 patients,the 35 patients in the group A received traditional treatment and arterial embolism, the other 35 patients in the group B received artery embolism and HIFU treatment. Results In the group A, shrinking tumor was observed in the 16 patients,completely liquefaction necrosis in the 0 patient, stability in the 3 patients, tumor increases or diffusion transfer in the 16 patients, in the 1 months after the treatment. In the group B, echogenicity was in all the tumor site in the 30 minutes after the treatment, blood flow was decreased in the color Doppler, shrinking tumor in the 24 patients, completely liquefaction necrosis in the 3 patients, stability in the 2 patients, tumor increases or diffusion transfer in the 6 patients, in the 1 months after the treatment. Conclusion HIFU combined with arterial embolism is safe and effective for small hepatocellular carcinoma.

关 键 词：肝癌 高能超声聚焦刀 介入治疗 

分 类 号：R735.7[医药卫生—肿瘤] R730.58[医药卫生—临床医学]