超声引导下激光与射频消融治疗小肝癌的效果比较  

Comparison of ultrasound-guided laser ablation and radiofrequency ablation in the treatment of small hepatocellular carcinoma

作　　者：潘东英[1] 张炽敏[2] 张伟民[3] 张芳霞[1] 邹大中[1] PAN Dong-ying ZHANG Chi- min ZHANG Wei- min ZHANG Fang-xia ZOU Da-zhong(Department of Ultrasound,the Affiliated Jiangyin Hospital of Southeast University,Jiangyin 214400, China Department of Ultrasound, Zhongda Hospital, Southeast University, Nanjing 210009, China Department of Ultrasound,the Third People＇s Hospital of Changzhou, Changzhou 213001, China)

机构地区：[1]东南大学附属江阴医院超声科,江苏江阴214400 [2]东南大学附属中大医院超声科,江苏南京210009 [3]常州市第三人民医院超声科,江苏常州213001

出　　处：《现代医学》2016年第12期1714-1718,共5页Modern Medical Journal

摘　　要：目的:探讨超声引导下激光消融和射频消融治疗小肝癌的临床效果。方法:选择行消融治疗的小肝癌患者74例,分为激光消融组(LA组)35例与射频消融组(RFA组)39例,比较两组治疗1个月后消融效果和血清甲胎蛋白(AFP)、癌胚抗原(CEA)水平,记录两组术后不良反应。结果:两组消融效果和血清AFP、CEA水平比较差异无统计学意义(P>0.05),术后不良反应比较差异无统计学意义。结论:超声引导下LA与RFA均是治疗小肝癌的有效方法,相比而言,LA操作简便、可重复性强,在操作方面更具有优势。Objective： To investigate the clinical effects of laser ablation and radiofrequency ablation on small hepatocellular carcinoma.Methods： Seventy-four patients with small hepatocellular carcinoma were divided into laser ablation group（ group LA,35 cases） and radiofrequency ablation group（ group RFA,39 cases）.The therapeutic effect and levels of AFP and CEA in patients of the two groups were compared 1 month after ablation.Adverse reactions were also recorded after the treatment.Results： There was no statistically significant difference between the two groups in the levels of AFP and CEA,the ablation effect（ P 〉 0.05） and the adverse reactions.Conclusion： Both ultrasound-guided LA and RFA are effective in the treatment of small hepatocellular carcinoma,wheras the ultrasound-guided LA is simple,repeatable and operatable compared with RFA.

关 键 词：超声引导 激光消融 射频消融 小肝癌 效果 

分 类 号：R735.7[医药卫生—肿瘤]