Clinical application of ultrasound‐guided No touch liver pedicle microwave ablation in the treatment of hepatocellular carcinoma
10.3760/cma.j.issn.1004‐4477.2019.06.012
- VernacularTitle:超声引导下Notouch肝蒂微波消融损毁术在肝细胞性肝癌治疗中的临床应用研究
- Author:
Dan WANG
1
;
Shu ZHU
;
Peng ZHU
;
Kaiyan LI
;
Hongchang LUO
Author Information
1. 华中科技大学同济医学院附属同济医院超声影像科
- Keywords:
Ultrasonic guidance;
Liver neoplasms;
M icrowave ablation;
Liver pedicle
- From:
Chinese Journal of Ultrasonography
2019;28(6):525-529
- CountryChina
- Language:Chinese
-
Abstract:
To investigate the feasibility ,safety and clinical effect of No touch liver pedicle microwave ablation . Methods T he clinical data of 229 patients with hepatocellular carcinoma treated in the Department of Hepatology ,Wuhan Tongji Hospital from M ay 2014 to October 2016 were retrospectively analyzed . T he patients were divided into 3 groups .In group A ,82 patients underwent ultrasound‐guided No touch liver pedicle microwave ablation ,69 patients in group B were treated with anatomical hepatectomy ,and 78 patients in group C underwent traditional microwave ablation . T he preoperative basic data ,intraoperative data ( treatment time , intraoperative blood loss ) and postoperative data ( postoperative liver function indicators ,complications ,hospitalization time ,local recurrence ,survival rate) were compared among the 3 groups . Results T he treatment time ,intraoperative blood loss ,postoperative liver function index and hospitalization time in group A and group C were significantly lower than those in group B( all P ＝0 .000) . T here was no difference in complete elimination rate ,between the two groups in group A and group B( P ＞0 .05) ,which was significantly better than those of group C ( P ＝ 0 .019 ) . T here was no significant difference in the local recurrence rate between the three groups after 1 year and 3 years . Conclusions No touch liver pedicle microwave ablation damage is safe and reliable ,in line with the principle of oncology treatment ,it worthes further promotion in the clinic .
