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目的 探讨中晚期肝癌行术中氩氦刀冷冻治疗(argon super cryosurgery system,ASCS)的方法及临床疗效。方法 对24例患者行术中ASCS,单纯ASCS 9例;ASCS加置泵术9例;手术切除癌灶加ASCS加置泵术4例;手术切除癌灶加转移淋巴结ASCS加置泵术2例。结果 成功治疗24例,病理学检查证实受冷冻处癌组织变性坏死。并发症有穿刺孔出血、胸腔积液、胆汁漏、肝昏迷,均治愈。病例均获随访,术后生存时间6~12个月22例,12~18个月17例,18~24个月9例,>24个月5例。结论 术中ASCS为中晚期肝癌提供了新的治疗途径,但也有合并症发生,应注意防治。
Objective To investigate the method and clinical efficacy of intraoperative argon super cryosurgery system (ASCS) for advanced hepatocellular carcinoma. Methods Twenty-four patients underwent ASCS, simple ASCS in 9 cases, ASCS plus pump in 9 cases, surgical resection of the tumor plus ASCS plus pump in 4 cases, surgical resection of the lesion plus lymph node metastasis in ASCS plus pump in 2 cases . Results Successful treatment of 24 cases, confirmed by pathological examination of frozen tissue degeneration and necrosis. Complications of puncture bleeding, pleural effusion, bile leakage, hepatic coma, were cured. All the cases were followed up. There were 22 cases with 6 ~ 12 months survival after operation, 17 cases with 12 ~ 18 months, 9 cases with 18 ~ 24 months and 5 cases> 24 months after operation. Conclusion Intraoperative ASCS provides a new treatment for advanced liver cancer, but there are also complications, should pay attention to prevention and treatment.