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经皮酒精注射法和经皮微波凝固法等超声引导疗法常用于治疗较小的不能手术切除的肝癌。然而一些肿瘤位于横膈正下方肝顶部,由于回声的屏蔽和折射使超声难以检测到。作者报道1例肝顶部肝癌患者行腹腔内盐水注入后,安全准确地进行了超声引导经皮微波凝固治疗,取得了理想的效果。56岁女性,输血传染型丙肝患者,经皮活检表明病变位于肝脏Couinaud第八段。行经皮酒精注射治疗后,每4个月的追踪CT检查显示抗肿瘤效果良好。但治疗2
Ultrasound-guided therapies such as percutaneous alcohol injection and percutaneous microwave coagulation are often used to treat small unresectable liver cancers. However, some tumors are located on the top of the liver just below the diaphragm, making ultrasound difficult to detect due to the shielding and refraction of echoes. The authors reported a patient with hepatic apical hepatocellular carcinoma who underwent intraperitoneal saline injection, safely and accurately performed ultrasound-guided percutaneous microwave coagulation therapy, and achieved satisfactory results. In a 56-year-old woman with transfusion-transmitted hepatitis C, a percutaneous biopsy showed that the lesion was located in the eighth segment of the liver in Couinaud. After percutaneous ethanol injection, follow-up CT examination every 4 months showed good anti-tumor effect. But treatment 2