摘要
[目的]探讨第二肝门区肝癌射频消融的治疗结局。[方法]2006年1月～2008年1月26例第二肝门区肝癌患者的32个肿瘤接受了35次超声引导下经皮穿刺射频消融。[结果]26例患者初次射频消融第二肝门区肿瘤30个,22例患者的25个肿瘤完全消融,完全消融率84.6%。<3cm、3～4cm和>4cm的肿瘤完全消融率分别为91.3%、66.7%和0,差异有显著性(P=0.027)。26例中的9例因局部肿瘤残留、复发、新生等原因接受多次射频消融,26例患者共接受35次射频消融,32个肿瘤中完全消融29个,总体完全消融率90.6%(29/32)。无射频相关死亡发生,2例发生明显胸水,1例发生胆脂瘤并发肝内感染,3例发生局部复发。全组5例死亡,总体存活率80.8%。1年总体生存率86.7%,1年无复发生存率为71.4%。[结论]在熟知第二肝门区解剖特征、射频消融操作水平较好的情况下,射频消融治疗第二肝门区肝癌疗效确切、安全可靠。
[Purpose] To investigate the outcome of radiofrequency ablation (RFA) in treatment for liver cancer located in the second hepatic portal. [Methods] From Jan. 2001 to Jan. 2008, 26 cases with liver cancer located in the second hepatic portal of 32 tumors were treated with 35 times under ultrasound-guided percutaneous RFA. [Results] The initial radiofrequency ablation for 26 cases with 30 liver cancer located in the second hepatic portal, 22 cases with 25 tumor was complete ablation, complete ablation rate wa...
出处
《肿瘤学杂志》
CAS
2009年第10期917-921,共5页
Journal of Chinese Oncology
关键词
肝肿瘤
射频消融
第二肝门
liver neoplasms
radiofrequency ablation
second hepatic portal
