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目的 总结多弹头射频治疗肝癌的近期疗效、适应证与并发症。 方法 对 10 0例肝癌患者行 12 0次射频治疗 ,通过治疗前后肿瘤大小的比较 ,患者自觉症状的改善情况和AFP值改变进行对此观察。 结果 10 0例于治疗后 10d ,30例于治疗后 30d ,10例于治疗后 6 0d ,进行了彩色B超及CT复查 ,10d后 70 %患者肿瘤体积缩小在 2 0 %以上 ,30d后 80 %患者肿瘤体积缩小在 30 %以上 ,部分瘤体钙化或呈均质低密度区。 6 0d后 3例患者肿瘤体积缩小在 5 0 %以上。与术前相比全部瘤体内血供消失。 80 %患者自觉症状改善、其AFP值下降者占 5 0 % ,无手术死亡 ,术后并发症为 2 3%。 结论 B超引导下多弹头射频治疗中晚期肝癌效果确切而满意
Objective To summarize the short-term efficacy, indications and complications of multi-warhead radiofrequency ablation for liver cancer. Methods A total of 120 cases of liver cancer were treated with radiofrequency (RF) therapy. The observation of improvement in subjective symptoms and changes in AFP values was performed by comparing the tumor size before and after treatment. Results 100 cases were treated 10 days after treatment, 30 cases were treated 30 days after treatment, 10 cases were treated with color B-mode ultrasonography and CT after 6 days. After 10 days, the tumor volume was reduced by more than 20% after 80 days, 80 days after 30 days. In % patients, the tumor volume was reduced by more than 30%, and some of the tumors were calcified or had a homogeneous low density area. After 6 days, the tumor size of 3 patients was reduced to more than 50%. Compared with before surgery, the blood supply in all tumors disappeared. 80% of the patients had improved symptoms and their AFP values decreased by 50%. No operative death occurred, and postoperative complications were 2%. Conclusion The results of multi-warhead radiofrequency ablation guided by B-ultrasound are satisfactory and satisfactory