肝癌热消融治疗规划的研究进展

Research advances of treatment planning of thermal ablation for liver cancer

随着热消融技术的发展，热消融技术已成为肝癌根治性方法之一。术前治疗规划作为整个消融治疗过程的第一步，其核心目的是在并发症较低的前提下，保证消融后有安全的无瘤边缘，提高患者中长期生存率。术前治疗规划的好坏直接决定着术后疗效的优劣，对提高热消融治疗的科学性及准确性具有重要意义。因此，肝癌热消融治疗规划问题亦成为热消融领域研究热点之一。本文就近年来国内外关于影像引导下肝癌热消融治疗规划研究进展进行了综述。

With the development of thermal ablation techniques, thermal ablation has been a curative method in the treatment of liver cancer. Preoperative treatment plan ning as the first step in the thermal ablation process, its core purpose is to lower the complications, ensure tumor-free safety margin after ablation and improve patients＇ long term survival. Preoperative treatment planning determines directly the effect of thermal ablation therapy. Preoperative treat- ment planning is significant to improve the accuracy and sci entific of thermal ablation therapy. Therefore, preoperative treatment planning of thermal ablation for liver cancer has become one of the research focuses in the thermal ablation fields. This review focuses on the treatment planning studies of image-guided thermal ablation for liver cancer in recent years.