经皮B超联合腹腔镜引导微波消融同期治疗结直肠肝转移癌的效果分析  

Therapeutic Effect of Percutaneous B-ultrasound Combined with Laparoscopy-guided Microwave Ablation for Colorectal Liver Metastases

作　　者：陈景熙[1] 周彦明[1] 苏旭[1] 许东辉[1] 李滨[1] 郭平 邵静[1] CHEN Jingxi;ZHOU Yanming;SU Xu;XU Donghui;LI Bin;GUO Ping;SHAO Jing(The First Affiliated Hospital of Xiamen University,Xiamen 361003,China)

机构地区：[1]厦门大学附属第一医院,福建厦门361003

出　　处：《中外医学研究》2020年第7期8-10,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：福建省2019年医学创新课题项目(项目编号:2019-CXB-30)。

摘　　要：目的:探讨经皮B超联合腹腔镜引导微波消融同期治疗结直肠肝转移癌的效果。方法:选取2013年1月-2016年1月笔者所在医院52例结直肠癌肝转移患者,根据治疗方法分为三组,A组(n=21)为经皮B超联合腹腔镜引导微波消融组,B组(n=16)为腹腔镜同期手术组,C组(n=15)为开腹肝切除术同期手术组,对比三组治疗效果。结果:A组手术时间及出血量明显优于B、C组,差异均有统计学意义(P<0.05);A组住院时间明显优于B、C组,差异有统计学意义(P<0.05);三组并发症发生率、术后1、3年生存率及无瘤生存率比较,差异均无统计学意义(P>0.05)。结论:经皮B超联合腹腔镜微波消融同期结直肠癌根治术可有效治疗结直肠癌肝转移(病灶3个以内,最大病灶不超过3 cm),出血量少,术后康复速度快,效果优于腹腔镜同期手术与开腹肝切除术。Objective:To investigate the effect of percutaneous B-ultrasound combined with laparoscopic guided microwave ablation in the treatment of colorectal liver metastasis.Method:From January 2013 to January 2016,52 patients with liver metastasis from colorectal cancer in our hospital were divided into three groups according to the treatment method.group A(n=21)was treated by percutaneous B-ultrasound combined with laparoscopic guided microwave ablation,group B(n=16)was treated by laparoscopic operation at the same time,and group C(n=15)was treated by open hepatectomy at the same time.Result:The operation time and bleeding volume of group A were significantly better than those of group B and C,the differences were statistically significant(P<0.05).The hospitalization time of group A was significantly better than those of group B and C,the differences were statistically significant(P<0.05).There was no significant differences between the complications of the three groups,the 1-year and 3-year survival rates and tumor-free survival rates(P>0.05).Conclusion:Percutaneous B-ultrasound combined with laparoscopic microwave ablation combined with radical resection of colorectal cancer can effectively treat liver metastasis of colorectal cancer(within 3 lesions,the largest lesion is no more than 3 cm),with less bleeding,rapid postoperative recovery,and the effect is better than laparoscopic operation and open hepatectomy at the same time.

关 键 词：腹腔镜 微波 肝转移 

分 类 号：R735[医药卫生—肿瘤]