摘要
目的：评价腹腔镜引导下微波消融作为治疗非手术适应证大肝癌的，临床疗效。方法：2000年至2007年11月，我们为32例直径大于5cm的大肝癌患者行腹腔镜引导下微波消融，肿瘤平均6．2cm，每个肿瘤结节插入3—5针，每个病灶治疗1～3次。观察组织消融范围、肿瘤完全消融率和局部复发率。结果：肿瘤完全消融率为81．3％，局部复发率为37．5％，1年、3年、5年生存率分别为75％、59．4％、37．5％。结论：腹腔镜引导下微波消融治疗非手术适应证大肝癌，安全有效，扩大了组织的消融范围，提高了局部治疗效果。
Objective：To investigate the effect of microwave ablation in big liver cancer guided by laparoscopy. Methods：Thirty-two patients with big liver cancer （ 〉 5cm） underwent laparoscopic guided microwave ablation. The average diameter of tumor was 6.2 cm. 3-5 electrode insertions was applied for each nodule and 1-3 treatment sessions was applied for each lesion. The ablated area, complete ablation rate and local recurrence were evaluated. Results：The complete ablation rate was 81.3%, and the local recurrence rate was 37.5%. One,two and five-year survival rates were 75% ,59.4% ,37.5% respectively. Conclusions ：The technique is safe and effective, which enlarges ablated area and improves local therapeutic effect.
出处
《腹腔镜外科杂志》
2008年第1期8-10,共3页
Journal of Laparoscopic Surgery
关键词
微波消融
腹腔镜术
肝癌
生存率
Microwave ablation
Laparoscopy
Liver cancer
Survival rate
