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目的评估CT矢状位重建下经皮微波消融治疗膈顶部肝肿瘤的疗效。方法 8例原发性肝癌、2例肝转移瘤患者,共11枚肿瘤病灶,在CT矢状位重建下进行微波消融治疗,随访36个月,观察肿瘤清除率、局部复发率、生存率、远处转移及血清AFP变化。结果全组11枚肿瘤病灶完全清除率为90.9%;3例术前AFP≥200 ng/m L者中1例术后AFP<200 ng/m L(1/3);1、2、3年肿瘤局部复发率分别为20%、30%、30%;1、2、3年生存率分别为100%(10/10)、60%(6/10)、50%(5/10)。所有患者均未出现操作相关的严重并发症。结论 CT矢状位重建下微波消融治疗膈顶部肝肿瘤是无法治疗或拒绝外科手术切除肝肿瘤患者的有效治疗方法。
Objective To evaluate the efficacy of percutaneous microwave ablation in the treatment of topical hepatic tumors of the diaphragm under CT sagittal reconstruction. Methods Eight cases of primary hepatocellular carcinoma and two cases of hepatic metastases were treated with microwave ablation under the CT sagittal reconstruction. The follow-up was 36 months. Tumor clearance, local recurrence, survival rate, Distant metastasis and serum AFP changes. Results The complete clearance rate of 11 tumor lesions was 90.9% in the whole group. One of the 3 cases with preoperative AFP≥200 ng / m L had an AFP <200 ng / m L (1/3); one, two or three years The local recurrence rates were 20%, 30% and 30% respectively. The 1-, 2-, and 3-year survival rates were 100% (10/10), 60% (6/10) and 50% (5/10) respectively. No serious patient-related complications occurred in all patients. Conclusion Microwave-assisted ablation of the top of the diaphragm in hepatic tumors with CT sagittal reconstruction is an effective treatment for patients who can not treat or reject surgical resection of liver tumors.