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The Short-term Curative Efficacy Of Rediofrequency Ablation In The Treatment Of Liver Cancer

Posted on:2009-09-05Degree:MasterType:Thesis
Country:ChinaCandidate:H GuFull Text:PDF
GTID:2144360242499878Subject:Surgery
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Objective Probe into the radio frequency and melt (radiofrequency ablation RFA) Treat the preliminary therapeutic effect of liver malignant tumour, security of the bad reaction and RFA. Method 31 cases of primary hepatocarcinoma patient that accepts to December of 2004 - June of 2007 for medical treatment treats, 26 men among them, 5 women, (52.1 persons 11.3) on average Years old. Found 42 of total number of body of tumour by supersound, spiral CT or MRI before the skill, tumour diameter <3 cm amounted to 5, 3- 5 cm amount to 22>, 5 cm amounts to 4, diameter 2.0-11.5 cm, on average(4.7 persons and 1.4)cm, 22 for a focus person among them, 7 for 2 focuses person, 2 for 3 focuses person. 27 cases of B-mode virus hepatitis, 2 cases of C-mode virus hepatitis, amalgamate 2 for 28 cases of liver cirrhosis (Child A, Child B28 example, Child C1 example) ,Until symptom lighten treat, range, district of pathological change, dwindle with CT strengthening pathological change district have, strengthen therapeutic effect of appraising scanning. Result 31 finish treating, CT checks and follows up a case by regular visits to in postoperative 1- 5 months, 13 (44.83%) Symptom disappears, 14 (48.28%) Symptom lighten, tumour diameter <3.0cm person, 7 tumour complete necrosis, non- complete necrosis 1; The diameter 3.0- 5.0cm person of tumour, 14 pieces of complete necrosis, 7 pieces of non- complete necrosis; Tumour diameter> 5.0cm person, 2 pieces of complete necrosis, 11 pieces of non- complete necrosis, total necrosis rate is 54.8% (23/42) . Reexamine in postoperative March, the primary hepatocarcinoma patient has 17 example AFPs to drop, account for 70.8 (17/24) ,Among them 11 AFPs drop to normally. Conclusion Radio frequency melt, treat liver cancer have create, effective, simple, safe and repeatable advantage a little, curative effect will be prominent in the near future, but will treat and is operated skilled intensity and Ultrasonography B by surgery to lead technology to influence, has limited the application of RFA, it is met card, taboo card, long-term curative effect,etc. and returned the need and further studied and appraised.
Keywords/Search Tags:Rediofrequency ablation, carcinoma, hepatocellulat
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