超声引导下射频消融治疗肝癌的临床价值  

The Clinical Value of Radio-Frequency Ablation on Hepatocellunlarcarcinoma Guided by Ultrasound

作　　者：李朝霞[1] 何长缓 刘纪蓉[1] 刘振林[1] 兰纪华[1] 唐磊[1] 李树森[2] 

机构地区：[1]四川省宜宾市第一人民医院,644000 [2]成都军区总医院超声科,610000

出　　处：《临床超声医学杂志》2002年第4期209-211,共3页Journal of Clinical Ultrasound in Medicine

摘　　要：目的　探讨超声引导下多极射频介入治疗肝癌的临床价值。方法　 1 9例肝癌患者 2 6枚结节在超声引导下进行射频消融治疗 ,采取由深到浅、多点多部位、重叠消融的治疗原则。结果　 1 2个结节 (46 .2 % )缩小 ,肿瘤回声均增强 ;1 6个 (61 .5 % )血流信号减少或消失 ;病检 8例阴性 (8/ 1 2 ) ;1 0例甲胎蛋白下降 (1 0 / 1 3) ;7例 (7/ 1 3)肝功能改善。结论　超声引导下多电极射频治疗肝癌是一种疗效确切、操作简便、损伤小。Objective To evaluate the clinical value of multi-electrode radio-frequency ablation(MRFA) guided by ultrasound to treat liver cancer.Methods Nineteen cases(26 tumors)of pathologically confirmed hepatocellunlarcarcinoma were treated by MRFA with ultrasound guidance.Results After MRFA,the size of 12 tumors(46.2%) decreased,which also show characteristic echo enhan.The signals of blood flow in 16 tumors(61.5%) remarkably declined or disappeared,while the AFP in 11 cases decreased and the hepatic function in 7 cases were improved.Conclusions MRFA under ultrasound guidance apply a simple,safer and effective method in the treatment of hepatocellunlarcarcinoma.

关 键 词：超声引导 射频消融 治疗 肝癌 疗效 

分 类 号：R735.7[医药卫生—肿瘤]