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目的分析在腹腔镜引导下联合射频消融治疗肝脏肿瘤的临床效果。方法对7例肝脏肿瘤患者的病例进行回顾式分析,对患者手术方法、时间、术后并发症情况以及术后恢复时间等数据进行着重分析。结果 7例患者的手术均告成功,术后没有出现严重并发症,仅发生胸水、发热以及右上腹隐痛等症状,仅有1例患者术后出现肺部感染,经治疗后痊愈。根据随访结果显示,患者半年内存活率达到了100%,1年内存活率达到57.14%(4例1年内存活)。结论腹腔镜下射频消融治疗能够有效弥补经皮超声引导下射频治疗时所带来的严重并发症问题,同时这种方法也可以免除患者开腹手术的困扰,对于一些年龄较大或对开腹手术耐受度不够的患者,腹腔镜下射频消融治疗是一种比较实用的方法 ,值得在临床实践治疗中进行推广。
Objective To analyze the clinical effects of laparoscopic radiofrequency catheter ablation in the treatment of liver tumors. Methods Seven cases of liver cancer were retrospectively analyzed. The data of operation method, time, postoperative complications and postoperative recovery time were analyzed emphatically. Results All the 7 patients were successful in operation. There were no serious complications after operation. Only pleural effusion, fever and pain in the right upper quadrant occurred. Only 1 patient had pulmonary infection after operation and healed after treatment. According to the follow-up results showed that the survival rate of patients within half a year reached 100%, 1 year survival rate reached 57.14% (4 cases of survival within 1 year). Conclusion Laparoscopic radiofrequency ablation can effectively compensate for the serious complications caused by percutaneous ultrasound-guided radiofrequency ablation. At the same time, this method can also avoid the troublesomeness of patients undergoing laparotomy. For some older or open abdomen Laparoscopic radiofrequency ablation is a more practical method for patients with inadequate surgical tolerance and is worth promoting in clinical practice.