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《Clinical Misdiagnosis & Mistherapy》 2010-01
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Clinical Efficacy of Cool-Needle Microwave Coagulation Treatment (MCT) versus Hepatectomy in Primary Carcinoma of Liver

ZHANG Yu-bin,LI Zhen-fu,GU Jian-bin,WANG Yan,ZHANG Jing-cheng,GENG Yun-feng (Department of General Surgery,The People's Hospital of Shijiazhuang City,Shijiazhuang 050011,China)  
Objective To evaluate the clinical effectiveness of cool-needle microwave coagulation treatment (MCT) in primary carcinoma of liver. Methods 225 patients of primary liver cancer,were chosen;109 by MCT with ultrasonic or CT or laparoscope orientation (group A) and 116 by hepatectomy (group B). The age,sex,tumor size between group A and B is not statistically significant. Results The operation time of group A,B was 20-70 (35.5±6.7) min vs 75-320 (122.7±10.6) min (P0.05). The bleeding amount was 0-5 (1.2±0.6) ml vs 100-1800 (358.3±40.1) ml (P0.05). Length of hospital stay was 1-3 (1.4±0.45) d vs 9-16 (11.2±1.7) d (P0.05). All the differences was statistically significant. During a median follow-up of 18 months the survival rate was 82.57% vs 83.62% (P0.05),the relapse rate was 22.33% vs 21.15% (P0.05). The difference was not statistically significant. Conclusion Compared with hepatectomy,MCT can minimize surgical trauma,bleeding and systemic reaction slightly,ensure rapid postoperative recovery and obtain the same effectiveness with open surgery.
【CateGory Index】: R735.7
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