Analysis of the effect of microwave ablation in the treatment of small liver cancer
10.3760/cma.j.cn501113-20200411-00176
- VernacularTitle:微波消融治疗小肝癌的效果分析
- Author:
Xiao CHENG
1
;
Jing HUANG
;
Wenfei LI
;
Tao ZHONG
;
Lijuan CAI
;
Hui LI
;
Yabing GUO
;
Jinzhang CHEN
Author Information
1. 南方医科大学南方医院感染内科，广州 510515
- Keywords:
Hepatocellular carcinoma;
Effect;
Microwave ablation
- From:
Chinese Journal of Hepatology
2021;29(11):1059-1062
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical effect of microwave ablation in the treatment of early small liver cancer (≤3 cm).Methods:103 cases with small liver cancer (tumor number < 3 and maximum tumor diameter < 3 cm) who underwent microwave ablation from November 2016 to November 2018 were retrospectively collected. The rate of residual lesions, recurrence rate one-year after the operation, and surgical complications were observed and grouped according to tumor size (< 2 cm and≥2 cm group) and tumor numbers (solitary and 2 ~ 3 lesion groups). The therapeutic effects of each group were compared and analyzed.Results:The tumor residual rate and one-year recurrence rate of small liver cancer after microwave ablation were 11.7% and 35.0%, respectively. The post-ablation syndrome incidence rate was 52.4%, with no serious adverse events. Compared with tumors < 2 cm, patients with≥2 cm had a higher postoperative residual rate ( χ2 = 7.651, P = 0.006), and the one-year recurrence rate of more solitary nodular tumors was lower ( χ2 = 10.125, P = 0.001). Conclusion:Microwave ablation is a safe and effective treatment for early small liver cancer, and it is more effective for small solitary nodules (< 2 cm).
