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射频消融与手术切除治疗小肝癌的Meta分析
引用本文:黄子明,张洪义,李志杰,赵刚,肖国丰. 射频消融与手术切除治疗小肝癌的Meta分析[J]. 中国现代普通外科进展, 2012, 15(3): 211-215
作者姓名:黄子明  张洪义  李志杰  赵刚  肖国丰
作者单位:中国人民解放军空军总医院肝胆外科 北京 100142
摘    要:目的:比较经皮射频消融与手术切除治疗小肝癌的疗效。方法:计算机检索文献,对纳入研究的方法及质量进行评价,并用RevMan 4.2.10版软件进行统计分析。结果:共纳入9个随机对照研究,Meta分析结果表明,两种治疗方法的1年总生存率差异无统计学意义,1、3年无瘤生存率、1年复发率手术组占优势。术后主要并发症及总住院时间,经皮射频消融组要优于手术组,差异有统计学意义(P〈0.05)。结论:经皮热射频消融治疗小肝癌短期内总体疗效差异不大,但是远期看来,手术组的生存率较高,复发率要低于射频组。

关 键 词:肝肿瘤  经皮射频消融  外科治疗

Radiofrequency ablation versus surgical resection for the treatment of hepatocellular carcinoma-a meta analysis
HUANG Zi-ming , ZHANG Hong-yi , LI Zhi-jie , ZHAO gang , XIAO Guo-feng. Radiofrequency ablation versus surgical resection for the treatment of hepatocellular carcinoma-a meta analysis[J]. Chinese Journal of Current Advances in General Surgery, 2012, 15(3): 211-215
Authors:HUANG Zi-ming    ZHANG Hong-yi    LI Zhi-jie    ZHAO gang    XIAO Guo-feng
Affiliation:Department of Hepatobiliary Surgery,PLA Air Force General Hospital(Beijing 100142,China)
Abstract:Objective:To compare the effectiveness of percutaneous radiofrequency ablation(RFA)and surgical resection(RC) as an initial treatment for patients with small hepatocellular carcinoma(HCC).Methods:The relevant literature was selected by computer.Statistical analysis of data rely on the software of RevMan 4.2.10.Results:The results included 9 randomized controlled studies.Targeting the tumor diameter less than or equal to 5 cm of small hepatocellular carcinoma.Conclusions:The difference of short-term percutaneous radiofrequency in the treatment of small hepatocellular carcinoma total curative effect is not notable,but from the long-term view,operation group,the survival rate and recurrence rate are dominant.
Keywords:Hepatocellular carcinoma·Radiofrequency ablation·Surgical resections
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