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目的 :探讨微波刀在大肝癌(直径≥5 cm)手术切除中的安全性及临床应用价值。方法 :回顾分析76例大肝癌患者,术中以微波刀预处理肝脏切缘(观察组),与同期以传统方法手术切除的大肝癌患者32例(对照组)比较。结果:两组患者一般情况、肿瘤直径、术前肝功能情况无统计学差异(P>0.05)。微波刀辅助切除的方法缩短了手术时间、减少了术中的出血量、缩短了术中肝门阻断的时间(P<0.01)。从而减少了术后并发症,提高了患者的近期预后。结论:微波刀在大肝癌的手术切除过程中,可以减少手术创伤,缩短术后恢复时间。
Objective: To investigate the safety and clinical value of microwave knife in the surgical resection of large hepatocellular carcinoma (diameter≥5 cm). Methods: A retrospective analysis of 76 patients with large hepatocellular carcinoma (HCC) was performed. The edge of the liver was pretreated with a microwave knife during the operation (observation group), compared with 32 patients with large HCC who underwent surgical resection in the same period (control group). Results: The two groups of patients in general, tumor diameter, preoperative liver function was no significant difference (P> 0.05). Microwave knife assisted resection method to shorten the operation time, reduce the amount of bleeding during surgery, shorten the time of intraoperative hepatic portal block (P <0.01). Thereby reducing the postoperative complications and improve the patient’s immediate prognosis. Conclusion: Microwave knife in the surgical resection of large hepatocellular carcinoma can reduce surgical trauma and shorten the recovery time.