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从1989年10月至1990年应用微波外科治疗肝肿瘤116例,其中95例,在游离肝叶后,顺着预定的肝切除线逐点作肝组织凝固,然后沿着凝固线作肝切除术。另21例中因肿瘤较大或侵及主要肝内管道而不能切除17例,因合并重度肝硬化而不宜作肝切除术4例。作根治性肝切除的52例AFP阳性中,术后AFP降至正常者28例,明显下降但未降至正常18例,其余6例术后AFP再度上升。原发灶切除而卫星灶作微波凝固术的14例中AFP阳性9例,术后AFP均降至正常。17例单纯作微波固化术,AFP降至正常4例。微波外科在肝肿瘤手术中未见明显术后并发症。
From October 1989 to 1990, microwave surgery was used to treat 116 cases of liver tumors, including 95 cases. After free liver, hepatic tissue was coagulated along the pre-determined hepatectomy line and hepatectomy along the coagulation line was performed. . In the other 21 cases, 17 cases could not be resected due to large tumors or invasion of major intrahepatic ducts, and 4 cases were not suitable for liver resection because of severe cirrhosis. Of the 52 AFP-positive patients who underwent radical hepatectomy, AFP dropped to normal after surgery, which was significantly decreased but not reduced to normal in 18 patients. The remaining 6 patients had AFP increased again. Among the 14 cases with primary foci resection and microwave follicles for microwave coagulation, 9 were positive for AFP, and AFP was reduced to normal after surgery. In 17 patients who underwent microwave curing alone, AFP was reduced to normal in 4 patients. No significant postoperative complications were seen in liver surgery for microwave surgery.