The application value of microwave ablation under ultrasound-MRI in the treatment of small liver cancer
10.3969/j.issn.1002-1671.2025.07.029
- VernacularTitle:超声-MRI下微波消融治疗小肝癌的应用价值
- Author:
Jinghai WANG
1
;
Shuyu LIU
;
Ruifeng ZHAO
;
Zongze SUN
Author Information
1. 牡丹江医学院附属第二医院影像科,黑龙江 牡丹江 157000
- Publication Type:Journal Article
- Keywords:
ultrasound-magnetic resonance imaging;
microwave ablation;
hepatectomy;
small liver cancer
- From:
Journal of Practical Radiology
2025;41(7):1211-1214
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application value of microwave ablation under ultrasound-magnetic resonance imaging(US-MRI)in the treatment of small liver cancer.Methods A total of 94 patients with small liver cancer were selected and randomly divided into observation group and control group using a random number table method,with 47 patients in each group.The observation group underwent microwave ablation under US-MRI,while the control group received surgical resection.The tumor control rate,periopera-tive indicators,liver function indicators[total bilirubin(TBIL),albumin(ALB),aspartate aminotransferase(AST),and alanine amin-otransferase(ALT)],postoperative complications,and 6-month follow-up status were compared between the two groups.Results There was no significant difference in tumor control rate between the two groups(P>0.05).In the observation group,the proportion of patients with smaller intraoperative blood loss,shorter operative time and postoperative performance status(PS)score of 0-1 was higher than those in the control group(P<0.05).After treatment,the levels of TBIL,AST and ALT were lower and the level of ALB was higher,and the incidence of complications was lower in the observation group(P<0.05).There were no significant differences between the two groups in residual lesion and recurrence(P>0.05).Conclusion The short-term efficacy of microwave ablation under US-MRI in the treatment of small liver cancer is similar to that of surgical treatment,and the microwave ablation under US-MRI can also reduce liver function injury,reduce intraoperative blood loss and shorten operation time.
