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肝癌行射频消融治疗后肿瘤局部进展发生率较高,其主要原因为对安全边界的重视不够。射频消融治疗肝癌理想的目标是获得病理学完全消融,其消融范围应完全覆盖主体病灶、癌周微静脉浸润灶和卫星灶,形成足够的安全边界。全文就目前临床上射频消融治疗肝癌的标准、存在的问题及增加安全边界策略等问题作一探讨。
The incidence of local tumor progression after radiofrequency catheter ablation in HCC is higher, mainly due to insufficient attention to the safety margin. The ideal goal of radiofrequency ablation for the treatment of liver cancer is to obtain complete ablation of the pathology. The ablation range of the radiofrequency ablation should completely cover the main lesion, the perivascular venous infiltration tumor and the satellite lesion to form enough safety margin. The full text of the current clinical criteria for the treatment of liver cancer by radio frequency ablation, the existing problems and increase security border strategy and other issues to be explored.