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经皮射频消融术与腹腔镜肝癌切除术治疗小肝癌的临床效果比较
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作者 张振翼 张欣 +2 位作者 赵孟雷 霍浩然 袁增江 《中文科技期刊数据库(引文版)医药卫生》 2021年第6期29-29,共1页
分别对小肝癌患者进行皮射频消融术与腹腔镜肝癌切除术治疗方法,比较两组患者实际治疗效果,判断实际临床疗效。方法:选取2018年4月15日-2019年4月15日于我院进行小肝癌手术治疗的患者120例,按照随机数表法将所有患者分为实验组和对照组... 分别对小肝癌患者进行皮射频消融术与腹腔镜肝癌切除术治疗方法,比较两组患者实际治疗效果,判断实际临床疗效。方法:选取2018年4月15日-2019年4月15日于我院进行小肝癌手术治疗的患者120例,按照随机数表法将所有患者分为实验组和对照组,对实验组进行皮射消融术治疗,对照组患者进行腹腔镜肝癌切除术,治疗周期后对两组患者进行疗效评价,比较两组患者的肝功能指标,判断综合治疗结果。结果:实验组患者的肝功能明显高于对照组,实验组患者综合治疗效果高于对照组,其差异具有统计学意义(P<0.05)。结论:根据实际临床实验结果得知,皮射消融术对于肝癌的治疗效果更好,实际临床资料显示,皮射消融术能够有效改善肝癌患者肝功能,降低肝癌疾病并发症,对延长患者生存时间,提高患者生存质量,降低肝癌导致的肝功能异常情况,对于肝癌的治疗有积极意义。 展开更多
关键词 皮射消融术 腹腔镜肝癌切除术 肝癌治疗
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A case of biliary gastric fistula following percutaneous radiofrequency thermal ablation of hepatocellular carcinoma 被引量:6
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作者 Angela Falco Dante Orlando +1 位作者 Roberto Sciarra Luciano Sergiacomo 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第5期804-805,共2页
Percutaneous radiofrequency thermal ablation (RFA) is an effective and safe therapeutic modality in the management of liver malignancies, performed with ultrasound guidance. Potential complications of RFA include li... Percutaneous radiofrequency thermal ablation (RFA) is an effective and safe therapeutic modality in the management of liver malignancies, performed with ultrasound guidance. Potential complications of RFA include liver abscess, ascites, pleural effusion, skin burn, hypoxemia, pneumothorax, subcapsular hematoma, hemoperitoneum, liver failure, tumour seeding, biliary lesions. Here we describe for the first time a case of biliary gastric fistula occurred in a 66-year old man with a Child's class A alcoholic liver cirrhosis as a complication of RFA of a large hepatocellular carcinoma lesion in the nl segment. In the light of this case, RFA with injection of saline between the liver and adjacent gastrointestinal tract, as well as laparoscopic RFA, ethanol injection (PEI), or other techniques such as chemoembolization, appear to be more indicated than percutaneous RFA for large lesions close to the gastrointestinal tract. 展开更多
关键词 Radiofrequency thermal ablation Hepatocellular carcinoma Biliary gastric fistula COMPLICATIONS
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Comparison of laparoscopic hepatectomy,percutaneous radiofrequency ablation and open hepatectomy in the treatment of small hepatocellular carcinoma 被引量:8
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作者 Chong LAI Ren-an JIN +1 位作者 Xiao LIANG Xiu-jun CAI 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2016年第3期236-246,共11页
Objective: Three mainstream techniques-laparoscopic hepatectomy (LH), percutaneous radiofrequency ablation (pRFA), and open hepatectomy (OH)--were compared in this study, in terms of their efficacies in the tre... Objective: Three mainstream techniques-laparoscopic hepatectomy (LH), percutaneous radiofrequency ablation (pRFA), and open hepatectomy (OH)--were compared in this study, in terms of their efficacies in the treat- ment of small hepatocellular carcinoma (HCC). Methods: A comparative study was performed within a total of 94 patients diagnosed with small HCC in our hospital from 2005 to 2010, who underwent LH (28), RFA (33), or OH (33). They had either a single tumor lesion of less than 5 cm or up to three nodules with diameters of less than 3 cm each. Outcomes were carefully evaluated throughout a 3-year follow-up interval and statistically interpreted. Results: The pRFA group had a significantly lower disease-free survival rate compared with the two surgical groups (P=0.001) and significantly shorter overall survival (P=-0.005), while the LH group and the OH group had no difference in survival results. For patients younger than 60 years old, surgical approaches offered a better long-term overall survival prognosis (P=0.008). There were no statistically significant differences among the three groups in overall survival for elderly patients (P=0.104). Conclusions: Among patients with small HCC, LH may provide better curative effects than pRFA without increasing complication rates, pRFA leads to faster recurrence than surgical resections. LH has similar therapeutic effects to OH and causes less trauma. For patients younger than 60 years old, LH may be the best curative treatment. Elderly patients may choose either surgery or pRFA. 展开更多
关键词 Hepatocellular carcinoma Laparoscopic hepatectomy Minimally invasive techniques Open hepatectomy Percutaneous radiofrequency ablation
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