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《Chinese Journal of Interventional Imaging and Therapy》 2006-04
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Comparative study on treatment of small hepatocellular carcinoma by radiofrequency ablation and percutaneous ethanol injection

ZHI Hui,LUO Bao-ming~*,WEN Yan-ling,YANG Hai-yun,OU Bing,MA Jian-hong(Department of Ultrasound in Medicine,the Second Affiliated Hospital of Sun Yat-Sen University,Guangzhou 510120,China)  
Objective To investigate the best adaptation of radiofrequency ablation(RFA) and percutaneous ethanol injection(PEI) in the treatment of small hepatocellular carcinoma(SHCC).Methods One hundred and twenty-seven patients with 156 lesions were treated by RFA or PEI.Eighty-one patients with 97 nodules were in RFA group,and fourty-six patients with 59 nodules were in PEI treatment(PEIT) group.The complications,cost for treatments,and survival rate of 1,2,3,4,5-year were compared.Results No severe complications were observed in all patients.Survival rate of 1,2,3,4,5-year was 91.3%,76.4%,62.8%,51.7%,44.4% in RFA group and 75.7%,60.0%,47.8%,37.5%,33.3% in PEIT group,respectively.The cost of treatment was lower in PEIT group than in RFA group.Conclusion Therapeutic effect of RFA on SHCC is better,but the cost of PEIT is cheaper.For subcapsular tumors or lesions near the vessel,PEIT maybe the better choice for treatment.
【Fund】: 广东省自然科学基金(31710);; 广东省卫生厅医学科研项目(A2003203)资助
【CateGory Index】: R735.7
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