经皮肝穿刺多弹头射频治疗肝癌(附31例报告)

Hepatocarcinoma Treatment by Radiofrequency with Clustered Electrode Technique (An Aanlysis of 31 Cases)

目的 探讨并总结多弹头射频治疗肝癌的临床近期疗效。方法 对 31例肝癌患者在B超引导下进行多弹头射频治疗 ,通过对手术前后CT、B超检查的比较及AFP、肝功能、机体免疫力、体重和自觉症状的改变进行对比观察。结果 31例于治疗后 7天、1 0例于治疗后 30天经B超及CT检查 :7天后 80 %的病人肿瘤体积缩小 30 %以上 ,30天后 1 0例病人肿瘤体积缩小 40 %以上 ,与术前相比瘤体内血供消失。 84%病人自觉症状改善 ,AFP值下降者占 77 8% ,肝功能酶谱及胆红素均恢复正常 ,白蛋白平均增加 1 1 0 g/L。体重增加 5 6kg ,T淋巴细胞转化率平均增加 2 1 %。IgG平均增加 2 0 g/L ,无手术死亡。结论 多弹头射频治疗肝癌的适应证广、安全可靠。

Objective Explore and summarize the early clinical effectiveness of treatment by RF with clustered electrode technique. Methods 31 cases of hepatocarcinoma were treated by RF, we observed the results by comparing preoperative and postoperative image data,tumor size,symptom,liver function,immunity and AFP value.31 cases 7d postoperatively and 10 cases 30d postoperatively underwent ultrasonography and CT scanning. Results The tumor size decreased 30% in 80% patients 7d postoperatively. The size decreased 40% in all patients 30d postoperatively. The symptom abated in 84% patients,AFP value decreased in 77 8% patients, liver function recovered to normal, blood albumin increased by an average of 2 0g/L, weight increased by an average of 5 6 kg,T\|lymphocyte transforming rate increased by an average of 21%,IgG increased by an avergage of 2 0g/L 30d postoperatively, no operative death. Conclusion The treatment of hepatocarcinoma by RF with clustered electrode has wide indications and significant early effects,it is safety and reliability. [