原发性肝癌的深部冷冻治疗

Cryosurgery for primary hepatic cancer

自１９９４年６月以来，作者采用ＬＣＳ－２０００型冷冻机治疗原发性肝癌患者２４例。其中临床Ⅱ期５例，Ⅲ期１０例，Ⅳａ期５例，Ⅳｂ期４例。全部患者均有不同程度的肝硬变。围手术期死亡１例。平均每例冷冻３．９次，每次平均１４分钟。术后均有发热（３８．２～３９．４℃），平均体温恢复正常时间为１４天。术前甲胎球蛋白（ＡＦＰ）增高者，术后均有不同程度的下降。结果提示，深部冷冻治疗为不能手术切除的原发性肝癌患者提供了一种有效的治疗方法。

Cryogenic surgical LCS 2000 was used for the treatment of 24 patients with primaryhepatic cancer since June 1994. There were 5 on clinical stage Ⅱ,10 on Ⅲ, 5 on Ⅳ a, and 4 on Ⅳ b. Allpatients were cirrhotics. Cryosurgery was performed averagely 3. 9 times on eath patients lasting for anaverage of 14 minutes for eath time. Posttheraphy fever (38. 2~39. 4℃ ) occurred in all patients. A significant decline in AFP levels postopratively indicate that cryosurgery is a safe and effective therapy forunresectable primary hepatic cancer.