射频消融与手术切除治疗原发性肝癌的近期及远期预后效果分析

Radiofrequency ablation and surgical resection for short-term and long-term prognosis of primary liver cancer

目的:探讨射频消融和手术切除治疗原发性肝癌的近期、远期效果。方法:收治原发性肝癌患者84例,应用切除手术的42例患者为切除组,应用射频消融术的42例患者为射频消融组。结果:射频消融组患者的手术时间和住院时间均比切除组短,术中出血量低于切除组;射频消融组术后发生疼痛、发热、腹腔出血、感染等并发症发生率低于切除组(P<0.05)。结论:在原发性肝癌治疗中应用射频消融和手术切除后生存率和复发率差异无统计学意义,但应用射频消融治疗创伤小,术后恢复快。

Objective:To investigate radiofrequency ablation and surgical resection for the short-term and long-term prognosis ofprimary liver cancer.Methods:84patients with primary liver cancer were enrolled in this study.42patients who underwentresection were selected as the resection group,42cases with radiofrequency ablation as the ablation group.Results:The operationtime and hospitalization time in the radiofrequency ablation group were shorter than in the resection group,and the intraoperativeblood loss is lower than the resection group;the postoperative pain,fever,abdominal bleeding,infection and other complicationswere lower than in the resection group(P<0.05).Conclusion:There is no difference in the survival rate and recurrence rate ofpatients with primary liver cancer after radiofrequency ablation and surgical resection,however,application of radiofrequencyablation has small trauma,and rapid recovery after operation.