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目的探讨腹腔镜下射频消融治疗特殊部位原发性肝癌的效果。方法2005年1月至2006年12月,对中山大学附属第三医院25例入选的患有特殊部位肝癌的病例,分别采用腹腔镜下射频消融术(A组,n=11)和经皮射频消融术(B组,n=14)治疗。观察治疗前后癌灶的超声造影变化、并发症情况,并做术后疗效的随访。结果腹腔镜下消融组术后并发膈肌损伤致大量胸水、肿瘤消融不完全的情况较少。术后随访两组均有癌肿复发的病例出现。结论对于特殊部位的肝癌,腹腔镜下射频消融术具一定的优越性。
Objective To investigate the effect of laparoscopic radiofrequency catheter ablation in the treatment of primary liver cancer at special sites. Methods From January 2005 to December 2006, 25 cases of hepatocellular carcinoma with special sites selected from the Third Affiliated Hospital of Sun Yat-sen University were treated with laparoscopic radiofrequency ablation (group A, n = 11) and percutaneous radiofrequency Ablation (Group B, n = 14) treatment. To observe the changes of the contrast-enhanced ultrasound before and after the treatment of cancer, complications, and follow-up of postoperative efficacy. Results In laparoscopic ablation group, pleural effusion caused by diaphragmatic injury complicated with incomplete ablation was less. Postoperative follow-up of both cases of cancer recurrence occurred. Conclusion For the special part of liver cancer, laparoscopic radiofrequency ablation has some advantages.