| 术中B超引导下行肝癌切除术35例临床分析 |
| |
| 引用本文： | 张艳林,黄映明,邓和军.术中B超引导下行肝癌切除术35例临床分析[J].重庆医学,2009,38(12). |
| |
| 作者姓名： | 张艳林 黄映明 邓和军 |
| |
| 作者单位： | 重庆市肿瘤研究所肝胆外科,400030 |
| |
| 摘 要： | 目的 评价术中B超引导下行肝癌切除术在预防肝癌术后复发的应用价值.方法 35例肝癌患者在术中B超引导下行肝癌切除术(A组),另35例行常规肝癌切除术(B组),术后定期复查肝功能、AFP、CT及MRI等,并随访.结果 术中B超对直径小于3cm肿瘤检出阳性率为93.1%,直径大于3cm肿瘤检出阳性率为100%.应用术中B超使34.3%(12/35)患者改变了原手术方案.术后5年局部复发率A组为54.3%,B组为88.6%(P<0.05).结论 术中B超对肝癌定位准确,能够提高手术安全性、彻底性和合理性,降低肝癌术后复发率,明显优于常规肝癌切除术.
|
| 关 键 词： | 肝细胞癌 术中B超 术后复发 |
Intraoperative ultrasonography in preventing recurrence after the resection of hepatocellular carcinoma |
| |
| ZHANG Yanlin,HUANG Yin-ming,DENG He-Jun.Intraoperative ultrasonography in preventing recurrence after the resection of hepatocellular carcinoma[J].Chongqing Medical Journal,2009,38(12). |
| |
| Authors: | ZHANG Yanlin HUANG Yin-ming DENG He-Jun |
| |
| Institution: | ZHANG Yan-lin,HUANG Yin-ming,DENG He-Jun(Department of Hepatobiliary Surgery,Chongqing Cancer Institute,Chongqing 400030,China) |
| |
| Abstract: | Objective To evaluate the value of intraoperative ultrasonography(IOUS) in preventing recurrence after the resection of hepatocellular carcinoma.Methods Thirty-five patients underwent the procedure guided by IOUS(group A)and 35 patients underwent conventional resection(group B),AFP,CT and MRI were used regularly ultrasound during the follow-up period to evaluate the outcome.Results The intraoperative ultrasonography could detect 93.1% tumors whose diameters were less than 3cm and detect 100% tumors whose di... |
| |
| Keywords: | hepatocellular carcinoma intraoperative ultrasonography recurrence after the resection |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
|
