经皮穿刺氩氦刀冷冻治疗转移性肝癌22例

Percutaneous Cryoablation in Treatment of MetastaticLiver Malignancy: A Report of 22 Cases

  • 摘要: 目的:探讨氩氦刀冷冻治疗转移性肝癌的疗效及临床意义。方法:2001年7月~2002年12月转移性肝癌患者22例在B超引导下行经皮穿刺氩氦刀冷冻治疗肝脏肿瘤术。术后患者定期复查血清肿瘤标记物、B超检查及CT或MRI。结果:术后12个月存活率为81.8%,术后18个月存活率为63.6%,术后24个月存活率为22.7%,术后并发症包括1例急性肾功能衰竭,4例胸腔积液,1例腹腔局部积液,全部病例均有一过性肝功能损害。结论:美国CryocareTM氩氦刀冷冻治疗中晚期转移性肝癌是一种微创、相对安全、疗效可靠的新方法。对于失去手术治疗机会且TAE疗效不好的中晚期转移性肝癌是一种有效的治疗方法。

     

    Abstract: Objective: To explore the curative effect of percutaneous cryoablation (PTC) in treat-ment of metastatic liver malignancy.Methods: A total of 22 patients with the metastatic liver malig-nancy, confirmed histologically or clinically, were treated with PTC. After the treatment, all the patientsreceived determination of serum tumor marker, CT scaning and MRI, as well as the ultrasonographyexamination.Results: The survival rate of 12, 18 and 24 months was 81.8% (18/22), 63.6% (14/22)and 22.7% (5/22), respectively.Conclusions: PTC is a microtraumatic, safe and effective method fortreatment of metastatic liver malignancy. It is a good choice for the patients with metastasis of the livercancer that is not suitable for surgical remove.

     

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