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目的探讨大肠癌合并肝转移射频消融的临床效果。方法回顾性分析2005-03-2009-05外科治疗41例共161个肝转移灶行射频消融治疗,术后复查腹部B超、CT观察治疗效果。结果 41例大肠癌并肝转移顺利完成手术,术后均未出现肝脏出血,胆囊、胃损伤,胆漏,膈肌?傷及肝功能衰竭等并发症。术后复查腹部B超,CT复查病灶坏死率91.3%。术后随访8例肝内新发病灶,6例消融部位复发。结论大肠癌并肝转移在腹腔镜辅助下射频消融治疗肝转移灶完全可行,并发症少,适应证广,病灶选择大多以肝脏表面,肝左外叶为主进行治疗。
Objective To investigate the clinical effect of radiofrequency ablation of colorectal cancer complicated with liver metastasis. Methods Retrospective analysis of 41 cases of 161 liver metastases from March 2005 to May 2005 were performed radiofrequency ablation. The postoperative abdominal ultrasound and CT were used to observe the therapeutic effect. Results 41 cases of colorectal cancer and liver metastasis successfully completed the operation, no postoperative liver bleeding, gallbladder, stomach injury, bile leakage, diaphragm injury and liver failure and other complications. Postoperative abdominal ultrasound B, CT review lesions necrosis rate of 91.3%. Postoperative follow-up of 8 cases of new intrahepatic lesions, 6 cases of recurrence of the ablation site. Conclusions Radiofrequency ablation of colorectal carcinoma and liver metastasis with radiofrequency ablation is feasible and feasible. There are few complications and indications. Most of the lesions are treated with liver surface and left external lobe.