[1]李晓峰,钱国军,张 磊,等. 微波高功率条件下消融原发性肝癌的初步研究[J].介入放射学杂志,2011,(12):974-978.
 LI Xiao-feng,QIAN Guo-jun,ZHANG Lei,et al.Microwave ablation with high output power for the treatment of hepatocellular carcinoma: a preliminary study[J].journal interventional radiology,2011,(12):974-978.
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 微波高功率条件下消融原发性肝癌的初步研究 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2011年12期
页码:
974-978
栏目:
非血管介入
出版日期:
2011-12-30

文章信息/Info

Title:
Microwave ablation with high output power for the treatment of hepatocellular carcinoma: a preliminary study
作者:
 李晓峰 钱国军 张 磊 沈 强 王 能 盛月红
215006 苏州大学临床医学院;上海东方肝胆外科医院微创一科
Author(s):
LI Xiao-feng QIAN Guo-jun ZHANG Lei SHEN Qiang WANG Neng SHENG Yue-hong.
School of Clinical Medicine, Soochow University, Suzhou 215006, China
关键词:
 【关键词】 肝细胞癌 微波消融 高功率 危险因素
分类号:
R735.7
文献标志码:
A
摘要:
 【摘要】   目的 探讨2 450 MHz水冷微波在高输出功率下热疗肝癌的安全性、近期疗效及术后肿瘤短期复发的危险因素。方法 对93例未行其他治疗的原发性肝癌患者106个肿瘤首次行微波高功率(100 W)消融,肿瘤直径为1.0 ~ 5.85 cm。观察手术前后肝功能变化、临床症状及随访指标评价疗效,并用单因素分析肝癌复发的相关因素。结果 微波消融后1 个月行增强CT或MRI 检查示病灶完全灭活率为98.11%(104/106)。所有病灶均1次穿刺成功,消融时间为2 ~ 10 min。手术前后肝功能变化明显(P < 0.05)。全组术中无皮肤灼伤、死亡病例;胆漏1例,胸腔积液1例。患者1年生存率为94.6%(88/93)。单因素分析示肿瘤复发与肿瘤数目有关。结论 2450 MHz水冷微波高功率下消融肝脏肿瘤安全、高效,并发症少;肿瘤数目是术后复发的危险因素。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2011-08-21)
更新日期/Last Update: