腹腔镜超声探头引导下射频消融术治疗原发性肝癌的临床应用分析

Laparoscopic radiofrequency ablation guided by ultrasound probe the clinical value of treatment of primary liver cancer

目的:探讨腹腔镜超声探头引导下射频消融术治疗原发性肝癌的临床应用价值。方法:回顾分析由肝胆外科完成的19例腔镜超声探头引导下肝癌射频消融术和17例B超引导下肝癌射频消融术的临床资料。结果:腹腔镜组19例均消融完全无肿瘤残留,术后出现肝区胀痛1例,胸腔积液2例,随访均无肿瘤复发。B超组17例中15例消融完全,术后出现肝区胀痛11例,胸腔积液10例,随访有4例肿瘤复发。结论:腹腔镜超声探头引导下射频消融术治疗原发性肝癌具有安全、微创、并发症少、消融彻底的优点,尤其对位于肝实质内邻近膈顶和胃肠道的肿瘤射频消融治疗有明显优势,值得临床推广。

Objective： To investigate the laparoscopic radiofrequency ablation guided by ultrasound probe the clinical value of treatment of primary liver cancer. Methods： Retrospective analysis of our hospital from September 2013 to August 2014,19 cases of the liver and gallbladder surgery cavity mirror ultrasonic probe guided percutaneous radiofrequency ablation of liver cancer and 17 cases clinical data of ultrasound guided percutaneous radiofrequency ablation of liver cancer. Results： 19 cases of laparoscopic group were to melt completely without residual tumor, postoperative pain in 1 case of liver area, pleural effusion in 2 cases, follow- up no tumor recurrence. Ultrasound group of 17 cases of 15 cases to melt completely, postoperative pain in 11 cases of liver area, 10 cases of pleural effusion, follow- up of 4 cases of tumor recurrence. Conclusions： laparoscopic radiofrequency ablation guided by ultrasound probe the clinical value of treatment of primary liver cancer is safe, minimally invasive, less complications, ablation thoroughly, especially within the liver parenchyma to neighboring diaphragmatic top and gastrointestinal tumor rf ablation has obvious advantages, worth clinical promotion.