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高强度聚焦超声治疗肝脏肿瘤近期疗效观察
引用本文:吴阳,宋天亮,李捷,陈超群,范正军,赵永福,赵龙拴,张水军. 高强度聚焦超声治疗肝脏肿瘤近期疗效观察[J]. 河南医药信息, 2013, 0(7): 23-25
作者姓名:吴阳  宋天亮  李捷  陈超群  范正军  赵永福  赵龙拴  张水军
作者单位:郑州大学第一附属医院肝胆胰外科,郑州450052
摘    要:目的探讨高强度聚焦超声(high—intensityfocusedultrasound,HIFU)治疗肝脏肿瘤的近期疗效。方法对118例接受HIFU治疗的肝癌患者,分析治疗前后临床症状、AFP、肝功能、影像学变化以及术后并发症的发生情况。结果HIFU治疗后,临床症状缓解率54.5%(42/77);59.4%(41/69)的患者血清AFP下降;91.6%(99/108)的患者术后早期影像学检查提示治疗有效,主要表现为治疗区域出现不同程度的组织坏死,血供消失或减少;术后并发症少。结论HIFU治疗肝脏肿瘤是有效和可行的,为临床治疗肝脏肿瘤提供一种新的治疗手段。

关 键 词:肝脏肿瘤  高强度聚焦超声  超声治疗

Recent efficiency observation ultrasound in treatment of high intensity focused of hepatocarcinoma
Affiliation:WU Yang, SONG Tian - liang, LI Jie, CHEN Chao - qun, FAN Zheng - jun, ZHAO Y0ng - fu, ZHAO Long - shuan, ZHANG Shui - jun Department of Hepatobiliary and Pancreatic Surgery, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
Abstract:Objective To study the recent efficiency of high intensity focused ultrasound (HIFU) in the treatment of hepatocarcinoma. Methods To analyze the improvement of clinical feature change and postoperative complication oc curence on 118 cases who accept the treatment of HIFU. Results After HIFU treatment,the remission rate of clinical symptom is 54. 5% (42/77) ,the decline rate of AFP in blood serum is 59. 4% (41/69) ,the effective rate from image test on early postoperative patients is 91.6% (99/108). Mainly presented as different degrees tissue necrosis,blood sup ply disappear or reduce, postoperative complications reduce in therapeutic area. Conclusion The treatment of HIFU to hepatocarcinoma is effective and feasible, and provide a new therapeutic means to hepatoearcinoma.
Keywords:Hepatocarcinoma  High - intensity focused ultrasound  Ultrasound therapy
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