微波原位热固化治疗肝脏肿瘤

IN SITU MICROWAVE COAGULATION THERAPY FOR LIVER NEOPLASMS

目的 研究微波原位热固化治疗肝脏肿瘤的疗效。方法 从 1996年 10月至 1999年 4月 ,用 8导植入式微波治疗机对 3 1例肝脏肿瘤患者进行了微波原位热固化治疗 ,治疗中心温度 110℃ 12 5℃ ,治疗时间 2 6分钟。术后随访2 6例 ,随访时间 3个月 3年。结果 显效 5 4.8% ,部分显效 3 5 .5 % ,总有效率为 90 .3 %。术后平均生存期 19.7个月 ,术后 1年、3年生存率分别为 77.4%及 3 8.7%。结论 微波原位热固化治疗肝脏肿瘤具有创伤小、恢复快、患者耐受好及疗效确切的优点。特别是对无法切除的肝脏肿瘤是一种安全、有效。

Objective To study the results of in situ microwave thermocoagulation therapy for liver neoplasms. Methods Thirty-one patients (male 28, female 3) with liver neoplasms underwent in situ microwave thermocoagulation therapy in recent 4 years were studied. The time of the therapy arranged from 2 to 6 minutes with the core temperature from 110℃ to 125℃. Twenty six of the thirty one (83.9%) were followed up. Results Ninty point three percent of these patients have a good result. The average survival time after the operation was 19.7 months. One-year and three-year survival rate were 77.4% and 38.7%, respectively. Conclusion The in situ microwave thermocoagulation therapy have the advantages of causing slight trauma, promoting repair, good tolerance and curative effectiveness. It’s a simple, safe and effective method with less adverse effect for treating the liver neoplasms, especially for unresectable neoplasms.