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射频消融治疗肝癌已经成为目前治疗肝癌的主要非手术方法之一,但术后较高的复发率受到关注。本文根据近年来的文献,对射频毁损术后复发的危险因素做一综述。结果显示,肿瘤直径>3cm、肿瘤位置临近大血管或肝脏包膜下、不足够的治疗范围、以及术者经验缺乏是使局部复发率升高的危险因素,而血清甲胎蛋白水平高、术前肝功能分级差、肿瘤病理分期晚等因素是肝内远处复发的危险因素。
Radiofrequency catheter ablation for the treatment of liver cancer has become one of the main non-surgical methods for the treatment of liver cancer, but a high recurrence rate has drawn attention. This article based on the literature in recent years, reviewed the risk factors for postoperative recurrence of radio frequency rupture. The results showed that the tumor diameter> 3cm, the tumor location near the large blood vessels or the liver capsule, inadequate treatment, and the lack of experience of the surgeon is the risk factor for the local recurrence rate, and serum alpha-fetoprotein levels, surgery Poor grade of liver function, late tumor pathology and other factors is a distant recurrence of liver risk factors.