超声引导下激光消融治疗高危部位小肝癌

伍晓敏，周平，马树花，田双明，邓金，赵永峰

摘要：

目的通过超声引导下对不同大小、不同部位的小肝癌进行消融治疗，探讨激光消融在高危部位小肝癌消融治疗的临床价

值。方法对2012~2014年之间在我院就诊的小肝癌患者共68例73个病灶行激光消融治疗。术后采用超声造影及临床随访对

不同大小、不同部位病灶的完全消融率和并发症发生率进行比较。结果≤1 cm组、1~2 cm组、2~3 cm组病灶的完全消融率分

别为100%、86.4%、82.7%。3组间差异没有统计学意义（P>0.05）。高危组和非高危组病灶的完全消融率分别为85.7%、92.1%，

两组之间的差异没有统计学意义（P>0.05）。并发症发生率在高危组和非高危组分别为9.1%、5.7%，两组之间的差异没有统计

学意义（P>0.05）。结论激光消融可较好的运用于高危部位小肝癌的消融治疗。

Abstract:

Objective To investigate the clinical value of ultrasound-guided laser thermal ablation (LTA) in the treatment of

small liver cancer at high-risk sites. Methods A total of 73 lesions ablated with LTA in 68 patients with small liver cancer. After

the operation, the rates of complete ablation were compared between patients with lesions of different sizes and at different

sites using contrast-enhanced ultrasound and the complications were recorded during the follow-up. Results The complete

ablation rates for carcinomas ≤1 cm, 1-2 cm, and 2-3 cm were 100%, 86.4%, and 82.7%, respectively, showing no significant

differences among them (P>0.05). The complete ablation rates of lesions were similar between the high-risk and low-risk

groups (85.7% vs 92.1%; P>0.05). The two groups showed no significant difference in the incidence of complications (9.1% vs

5.7%; P>0.05). Conclusion Ultrasound-guided LTAcan be a good option for treatment of small liver cancers at high-risk sites.

伍晓敏，周平，马树花，田双明，邓金，赵永峰. 超声引导下激光消融治疗高危部位小肝癌[J]. 南方医科大学学报, 2016, 36(01): 120-.

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