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[目的]探讨超声引导下微波消融治疗术后复发性肝癌的疗效。[方法]25例原发性肝癌术后复发患者共32个病灶在超声引导下行微波消融治疗,术后超声造影评价治疗效果。[结果]治疗1个月后,超声造影检查显示一次消融率达到87.5%(28/32),4个病灶(12.5%)未完全坏死而接受第2次微波消融治疗,术后均完全消融。随访6~18个月,22例患者存活,3例因肝功能衰竭死亡。[结论]超声引导下微波消融治疗术后复发性肝癌疗效好,创伤小,是一种有效的治疗方法。
[Objective] To investigate the effect of ultrasound-guided microwave ablation on postoperative recurrent liver cancer. [Method] Twenty-two lesions of 25 patients with recurrent primary liver cancer underwent microwave ablation guided by ultrasound. Postoperative contrast echocardiography was used to evaluate the therapeutic effect. [Results] After 1 month of treatment, the rate of primary ablation was 87.5% (28/32). Four lesions (12.5%) were not completely necrotic and received the second microwave ablation. All patients were completely ablated. Twenty-six patients were followed up from 6 to 18 months, and 3 died of liver failure. [Conclusion] Ultrasound-guided microwave ablation is a effective treatment for recurrent liver cancer with good curative effect and less trauma.