冷循环微波消融在原发性肝癌治疗中的应用

目的 探讨微波消融在原发性肝癌治疗中的合理应用.方法 对56例病人的98个病灶,根据肿瘤的大小、数量、位置采用适当方法进行穿刺消融.结果 除1例病人因在局麻下无法耐受治疗而中止外,余均顺利完成治疗.并通过对56例病例影像学和临床资料的分析,从多个角度展示机体产生的变化.结论 微波消融是一种有效的原发性肝癌治疗方法,可以作为手术切除治疗的重要补充手段,具有推广意义.其疗效主要取决于精确的穿刺定位和有效的消融范围,应合理选择穿刺方法.

Application of chilly-cycle microwave ablation in treatment of hepatocelluar carcinoma

Objective To study the effectiveness of microwave ablation in treating HCC.Methods A total of 98 nodules in 56 cases of HCC were treated via appropriate puncture approach ac-cording to the volume, amount and site of tumor nodules. Results Only 1 patient failed to finish treatment since he could not suffer the pain. The other 55 patients finished without a hitch. Clinical and imaging findings were analyzed for change of physiology. Conclusion The microwave ablation is effective for the treatment of HCC. Such therapy can be important supplement of direct surgical man-agement. Its effect mainly depends on accurate puncture approach and enough diametric range. Mean-while, reasonable puncturing method should be selected.