超声引导经皮肝穿多弹头射频治疗肝癌的价值及临床意义

目的　总结超声引导经皮肝穿多弹头射频治疗肝癌的疗效。方法　对 31例肝癌 34次射频治疗 ,通过治疗前后肿瘤的大小 ,病人自觉症状和AFP值改变进行对比观察。结果　 31例于治疗后 1周、1 0例治疗后 30天 ,3例半年进行B超及CT复查结果 ,1周后 80 %病人瘤体缩小为 30 %以上 ,30天后瘤体缩小在 40 %以上 ,与术前比较 7例瘤内血供消失 ,2例血流减少 ,84%病人自觉症状改善 ,AFP下降者占 77 8% ,无手术死亡。结论　超声引导经皮肝穿多弹头射频治疗杀伤肿瘤较彻底 ,对机体损害较轻 ,疗效确切而满意 ,是当前世界上较先进的“导向治疗法

Value and Clinical Signif icance of Ultrasound Guided Percutaneous TranshepaticMulti-bullet Radiofrequency Treatment of Hepatocarcinoma

Objective Summarize the effectiveness of ultrasound guided percutaneous transheptic multi|bullet radiofrequency treatment of hepatocarcinoma. Methods 30 casese of hepatocarcinoma were treated by radiofrequeney with 34 times.We observed the results by comparing pre|treatment and post|treatment tumor size,symptom of patient and AFP value. Results 31 cases 7d past|treatment,10 cases 30d post|treatment and 3 cases a half years post|treetment underwent ultrasonograph and CT scanning.The tumor size decreased 30% in 80% patients 7d post|treatment,and decreased 40% in all patients 30d post treatment.Comparing pre|treatment,5 cases blood of tumor disappeared,2 cases reduced,symptom of 84% patients were improvement.AFP value decreased in 77.8% patients and no cases of treatment death. Conclusion Ultrasound guided percutaneous transhepatic multi|bullet radiofrequency is in advance of guiding treatment method which possesses kill throughout tumor,damage lightly to body,it is really effectiveness and satisfication in the world. [