超声新技术辅助特殊部位小肝癌微波消融与手术切除的疗效对比研究  

A Comparative Study of the Efficacy of Microwave Ablation and Surgical Resection of Small Hepatocellular Carcinoma in Special Site Assisted By New Ultrasound Technology

作　　者：王俊东[1] 魏达友[3] 吴绍锋[3] 刘长珠[1] 冯清华[1] 李宝金[2] 张影[2] Wang J undong;Wei Dayou;Wu Shaofeng;Liu Changzhu;Feng Qinghua;Li Baojin;Zhang Ying(Department of Ultrasound,Eighth People's Hospital of Guangzhou,Guangzhou,Guangdong 510060,China;Department of Ultrasound,Maoming People's Hosp让al,Maoming,Guangdong 525011,China)

机构地区：[1]广州市第八人民医院超声科,广州市510060 [2]广州市第八人民医院普外科,广州市510060 [3]广东省茂名市人民医院超声科

出　　处：《中国超声医学杂志》2019年第6期506-510,共5页Chinese Journal of Ultrasound in Medicine

基　　金：2017年广东省科技厅科技计划项目(No.2017ZC0377)

摘　　要：目的对特殊部位小肝癌行超声新技术(实时超声造影和融合影像导航)辅助下微波消融与手术切除治疗的疗效进行对比研究。方法分析34例行实时超声造影和融合影像导航辅助下微波消融治疗与36例行手术切除治疗的特殊部位小肝癌患者,比较两组患者的无瘤生存率及总生存率差异,并分析影响无瘤生存率及总生存率的相关因素。结果微波消融组与手术切除组的6、12、24、36个月无瘤生存率无明显差异;微波消融组与手术切除组的6、12、24、36个月总生存率无明显差异。结论特殊部位小肝癌在超声新技术辅助下行微波消融治疗可达到与手术切除相同的治疗效果,且并发症发生率较低,值得临床应用及推广。Objective To compare the efficacy of microwave ablation and surgical resection under the guidance of new ultrasound techniques(real-time contrast-enhanced ultrasound and fusion image navigation)in the treatment of small hepatocellular carcinoma at special sites.Methods To analyze 34 patients with small hepatocellular carcinoma at special site treated by real-time contrast-enhanced ultrasound(CEUS)and microwave ablation assisted by fusion image navigation and 36 patients with surgical resection.To compare the difference of tumor-free survival rate and total survival rate between the two groups,and to analyze the related factors affecting the tumor-free survival rate and total survival rate.Results There was no significant difference in the 6 month,12 month,24 month and 36 month diseasefree survival rates between the microwave ablation group and the surgical resection group,and no significant difference in the 6 month,12 month,24 month and 36 month overall survival rates between the microwave ablation group and the surgical resection group.Conclusions Microwave ablation for small hepatocellular carcinoma with special site can achieve the same therapeutic effect as surgical resection,and the incidence of complications is low.It is worthy of clinical application and promotion.

关 键 词：超声新技术 特殊部位 肝癌 微波消融 手术切除 

分 类 号：R445.1[医药卫生—影像医学与核医学] R735.7[医药卫生—诊断学]