資源描述：
《冷循環(huán)射頻與手術(shù)治療肝癌的臨床研究》由會員上傳分享，免費在線閱讀，更多相關(guān)內(nèi)容在學術(shù)論文-天天文庫。
1、冷循環(huán)射頻與手術(shù)治療肝癌的臨床研究【摘要】目的研究比較冷循環(huán)射頻與手術(shù)治療肝癌的療效、并發(fā)癥情況、住院花費、住院天數(shù)及生活質(zhì)量。方法肝癌患者159例，分為兩組：腫瘤直徑≤5.0cm、單發(fā)腫瘤44例，手術(shù)治療29例，冷循環(huán)射頻治療15例；腫瘤直徑＞5.0cm患者115例，手術(shù)治療54例，冷循環(huán)射頻治療61例。冷循環(huán)射頻治療采用Col-tipRFTM系統(tǒng)，于超聲引導下將集束射頻治療針穿刺進入腫瘤進行治療。分組比較兩種治療的肝功能、AFP改變、并發(fā)癥情況、住院天數(shù)及花費、生活質(zhì)量評分等。描述影像學變化。結(jié)果冷循環(huán)射頻治
2、療對患者肝臟功能的破壞小于手術(shù)治療。冷循環(huán)射頻治療和手術(shù)治療對患者AFP水平的影響沒有明顯差異。冷循環(huán)射頻治療并發(fā)癥發(fā)生率，住院天數(shù)及花費低于手術(shù)治療，術(shù)后生存質(zhì)量高于手術(shù)治療。腫瘤直徑≤5.0cm、單發(fā)腫瘤，冷循環(huán)射頻和手術(shù)1年生存率及中位生存時間沒有差異。結(jié)論相對于手術(shù)，冷循環(huán)射頻治療也是一種安全，有效的肝癌治療方法?！娟P(guān)鍵詞】射頻手術(shù)肝癌生活質(zhì)量Clinicalstudyoftheapplicationofradiofrequencyablationandoperationontreatmentoflive
3、rcancer【Abstract】ObjectiveToprobeintothetreatment15effect，complicationsrate，lifequalityandhospitalizationexpensesofapplyingradiofrequencyablation(RFA)totreatlivercancerandcomparetowhichoftheoperation.Methods159livercancerpatientswereincludedinthisstudy.Theywe
4、redividedintotwogroupsaccordingtothediametersoftheirtumorsandwhethertheirtumorsweresolo.Among44casesinthegroupofsolotumorwithtumordiametersequalandlessthan5.0cm，29casesreceivedoperationsand15receivedradiofrequencytreatments，among115casesofthegroupwithtumourdi
5、ametersmorethan5.0cm，54casesreceivedoperationsand61receivedradiofrequencytreatments.Theoperationswerehepatolobectomy.Radiofrequencytreatmentwereconductedeitherpercutaneouslyorintraoperativelyundertheguidanceofultrasound.Thebundledneedleswerepuncturedintothetu
6、morsandperformedradiofrequencytreatments，withtreatmentfrequencyof480kHz，treatmenttime12min.Collecteddataofliverfunction（ALT，ALB，TB），AFP，complications，hospitalizationdaysandexpensesofpatientsreceivingoperationsandradiofrequencytreatmentsrespectively，observedch
7、angesinradiology.Differencesbetweentheabove-mentioneddataofpatientsreceivedoperationsandradiofrequencytreatmentswithintwogroupswerecompared.Results15Thedamagingeffectofliverfunctionofradiofrequencytreatmentwaslessseverethanoperations.Therewasnosignificantdiff
8、erencebetweentheAFPchangesofpatientsreceivedradiofrequencytreatmentandthosereceivedoperations.Concerningcomplications，hospitalizationdaysandexpenses，situationsofpatientsreceivedradiofrequ
