肝叶切除联合术中超声引导射频消融治疗多发性肝癌的价值

目的探讨外科手术联合术中超声引导射频消融治疗肝癌的价值。方法21例原发性肝癌患者术前均行肝脏三期CT和MRI检查，共56个病灶。对21个直径〉3cm的肝内病灶行外科手术切除，35个直径〈3cm的肝内病灶使用术中超声引导下射频消融治疗；以影像学检查结果判断病灶是否消融。结果射频消融肿瘤的平均时间较外科手术切除肿瘤的时间短。术后1个月肝脏三期CT／MRI复查显示35个病灶完全消融。在射频消融术中除治疗初期消融的5个病灶出现针眼出血外，余未见邻近组织损伤、胆漏等严重并发症，未出现治疗相关的死亡。结论外科手术联合术中超声引导射频消融治疗多发性肝癌是一种方便、合理、可行的治疗方案。

Surgery combined with intraoperative ultrasound-guided radiofrequency ablation treatment for multiple liver cancer

Objective To explore the value of surgery combined with intraoperative ultrasound-guided radiofrequency ablation （RFA） treatment for liver cancer. Methods Twenty-one patients with primary liver cancer underwent preoperative enhanced CT and MRI,and a total of 56 lesions were found. 21 hepatic lesions with a diameter more than 3 em were resected by surgery,and 35 hepatic lesions with a diameter less than 3 cm received intraoperative ultrasound-guided RFA. Results The average time of the ablation was shorter than the surgery.Thirty-five lesions showed complete ablation by enhanced CT / MRI review a month after treatment.In addition to pinprick bleeding in 5 lesions during the early stage of RFA, no serious complications such as adjacent tissue damage and bile leakage occured,and no death related to treatment happened.Conclusion Surgery combined with intraoperative ultrasound-guided RFA is a convenient,reasonable and feasible option for the treatment of muhiple liver cancer.