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射频消融在肝癌多学科综合治疗中的应用
引用本文:陈敏山,刘芙蓉. 射频消融在肝癌多学科综合治疗中的应用[J]. 临床肝胆病杂志, 2011, 27(4): 368-371
作者姓名:陈敏山  刘芙蓉
作者单位:中山大学肿瘤防治中心肝胆外科,广州,510060
摘    要:以射频消融(RFA)为代表的局部消融治疗已成为肝癌的重要治疗手段,在肝癌治疗中得到广泛的应用。其主要适应证为肿瘤单发、直径≤5 cm;或者肿瘤2~3个、最大直径≤3 cm。数个临床研究表明射频治疗小肝癌的效果与手术切除相当,国内外多个肝癌临床治疗指南已经将射频与手术切除一样,并列为小肝癌的根治性治疗方法。临床上RFA常常与手术切除、血管介入、瘤内无水酒精注射术、放射治疗、化疗、靶向药物治疗、免疫生物治疗等方法联合应用,在肝癌多学科综合治疗领域中起着越来越重要的作用。

关 键 词:导管消融术  肝肿瘤

The role of radiofrequency ablation in multidisciplinary treatment of hepatocellular carcinoma
CHEN Min-shan,LIU Fu-rong. The role of radiofrequency ablation in multidisciplinary treatment of hepatocellular carcinoma[J]. Chinese Journal of Clinical Hepatology, 2011, 27(4): 368-371
Authors:CHEN Min-shan  LIU Fu-rong
Affiliation:CHEN Min-shan,LIU Fu-rong(Department of Hepatobiliary Surgery,Sun Yat-sen University Cancer Center,Guangzhou 510060,China)
Abstract:Radiofrequency ablation(RFA) has been an important treatment for hepatocellular carcinoma(HCC).The good candidates of RFA are patients with HCC at early stage(solitary≤5 cm in diameter or ≤3 nodules,≤3 cm in diameter).Several clinical trials have shown that RFA was as effective as resection in the treatment of small HCC.Until now,RFA has been widely used as a radical treatment for small HCC.RFA also plays an important role in multidisciplinary treatment of HCC and usually combines with other therapies such as resection,vascular intervention,intra-tumor ethanol injection,radiotherapy,chemotherapy,targeted drug therapy,biological immune therapy. 更多
Keywords:catheter ablation  liver neoplasms  
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