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《Chinese Journal of Uitrasonography》 2001-07
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The ultrasound-guided method for radio-frequency ablation to treat large hepatocellular carcinoma

CAI Zhonghong,CHEN Tao,CHEN Qi,et al. General Surgical Centre of PLA,Chengdu General Hospital of PLA, Chengdu 610083, China  
Objective To assess the efficacy of the “slice bread” ultrasound guided method for radio frequency ablation (RFA) to treat large hepatocellular carcinoma (HCC).Methods Seventy seven patients with single large HCC were treated by the RF 2000 generator and LeVeen electrode made in U.S.A. The diameter of HCC were 5.2 ~ 17.6 cm, the mean diameter for all was 10.11 cm,the procedure were performed by “slice bread” ultrasound guided method and by the overlap RFA with the method of point by point and slice by slice. The efficacy was evaluated by AFP, enhanced CT and/or MRI.Results Complete ablation was attained in 51 patients ( 66.2 %) by one time and in 7 ( 9.1 %) over two times. Incomplete ablation was gotten on the remaining 19( 24.7 %) because the danger of tumors near important organs including IVC, port of liver, gallbladder and the ultrasound guided blind regions,etc. The remains were treated by local injection of ethanol and/or chemical drugs. The rate of complete ablation for all was 75.3 % (58/77). No severe complication occured, 96.1 % (74/77) and 67.4 % (29/43) of patients were surviving respectively at 6 and 12 months after the therapy.Conclusions The “slice bread” ultrasound guided method may be an effective, accurate locating, convenient and relatively simple way for RFA to treat large HCC.
【CateGory Index】: R735.7
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