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减体手术或手术切除联合氩超冷刀治疗晚期巨块多灶型肝脏恶性肿瘤
引用本文:方驰华,张明珠,俞金龙,方石岗.减体手术或手术切除联合氩超冷刀治疗晚期巨块多灶型肝脏恶性肿瘤[J].第四军医大学学报,2002,23(2):162-166.
作者姓名:方驰华  张明珠  俞金龙  方石岗
作者单位:第一军医大学第二附属医院肝胆,外科,广东,广州,510282
摘    要:目的 探讨晚期巨块多灶型“无法治疗”的肝脏恶性肿瘤治疗的新途径。方法 采用手术切除或减体手术切除巨块多灶型肝脏肿瘤,术中配合氩超冷刀多探针低温手术系统对残余瘤体和肝脏其他病灶进行治疗。结果 实施减体手术联合氩超冷刀1例,巨块肿瘤切除联合氩超冷刀1例,单纯氩超冷刀治疗3例,巨块肿瘤切除联合氩超冷刀1例,单纯氩超冷刀治疗3例,其中1例氩超冷刀治疗后第8d,肿瘤较术前缩小50%,术后随方均生存,最长已生存6mo。结论 手术联合术中氩超冷刀治疗巨块多灶型肝脏恶性肿瘤措施是成功的,对所谓“无法治疗”的肝脏恶性肿瘤提供新的可行性治疗途径。

关 键 词:  巨块多灶型肝肿瘤  冷冻外科手术  减体手术

Volume-reduced operation or operation together with Argon super-cryo surgical system on treatment of late massive multifocal malignant liver tumor
Abstract.Volume-reduced operation or operation together with Argon super-cryo surgical system on treatment of late massive multifocal malignant liver tumor[J].Journal of the Fourth Military Medical University,2002,23(2):162-166.
Authors:Abstract
Abstract:AIM To study the new method for treatment on "untrea table" late massive multifocal malignant liver tumor. METHODS Massive liver tumor was removed by operation or volume-reduced operation. Argon super-cryo surgical system (ASSs) was adopted to treat the remaining tumor and other foci in the liver. RESULTS One patien t was treated by volume-reduced operation together with ASSs. Massive tumor removing with ASSs w as performed on one patient. Three patients were treated only by ASSs and one of th em was found that his tumor was reduced by 50% 8 d after ASSs. Post operative follow-up revealed they all survived and the longest period had reached 6 mo. CONCLUSION It is successful to treat the massive multifocal malignant liver tumor by operation together with ASSs and a new promising path for treatment of so-called "untreatable" malignant liver tumor is blazed.
Keywords:argon  liver neoplasms  cryosurgery
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