欢迎来到天天文库
浏览记录
ID:1770224
大小:42.00 KB
页数:14页
时间:2017-11-13
《医药学临床医学毕业论文 冷循环射频与手术治疗肝癌的临床研究》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、湖南师范大学本科毕业论文考籍号:XXXXXXXXX姓名:XXX专业:医药学临床医学论文题目:冷循环射频与手术治疗肝癌的临床研究指导老师:XXX二〇一一年十二月十日【摘要】目的研究比较冷循环射频与手术治疗肝癌的疗效、并发症情况、住院花费、住院天数及生活质量。方法肝癌患者159例,分为两组:肿瘤直径≤5.0cm、单发肿瘤44例,手术治疗29例,冷循环射频治疗15例;肿瘤直径>5.0cm患者115例,手术治疗54例,冷循环射频治疗61例。冷循环射频治疗采用Col-tipRFTM系统,于超声引导下将集束射频治疗针穿刺进入肿瘤进行治疗。分组比较两种治疗的肝功能、
2、AFP改变、并发症情况、住院天数及花费、生活质量评分等。描述影像学变化。结果冷循环射频治疗对患者肝脏功能的破坏小于手术治疗。冷循环射频治疗和手术治疗对患者AFP水平的影响没有明显差异。冷循环射频治疗并发症发生率,住院天数及花费低于手术治疗,术后生存质量高于手术治疗。肿瘤直径≤5.0cm、单发肿瘤,冷循环射频和手术1年生存率及中位生存时间没有差异。结论相对于手术,冷循环射频治疗也是一种安全,有效的肝癌治疗方法。【关键词】射频手术肝癌生活质量Clinicalstudyoftheapplicationofradiofrequencyablationandop
3、erationontreatmentoflivercancer【Abstract】ObjectiveToprobeintothetreatmenteffect,complicationsrate,lifequalityandhospitalizationexpensesofapplyingradiofrequencyablation(RFA)totreatlivercancerandcomparetowhichoftheoperation.Methods159livercancerpatientswereincludedinthisstudy.They
4、weredividedintotwogroupsaccordingtothediametersoftheirtumorsandwhethertheirtumorsweresolo.Among44casesinthegroupofsolotumorwithtumordiametersequalandlessthan5.0cm,29casesreceivedoperationsand15receivedradiofrequencytreatments,among115casesofthegroupwithtumourdiametersmorethan5.0
5、cm,54casesreceivedoperationsand61receivedradiofrequencytreatments.Theoperationswerehepatolobectomy.Radiofrequencytreatmentwereconductedeitherpercutaneouslyorintraoperativelyundertheguidanceofultrasound.Thebundledneedleswerepuncturedintothetumorsandperformedradiofrequencytreatmen
6、ts,withtreatmentfrequencyof480kHz,treatmenttime12min.Collecteddataofliverfunction(ALT,ALB,TB),AFP,complications,hospitalizationdaysandexpensesofpatientsreceivingoperationsandradiofrequencytreatmentsrespectively,observedchangesinradiology.Differencesbetweentheabove-mentioneddatao
7、fpatientsreceivedoperationsandradiofrequencytreatmentswithintwogroupswerecompared.ResultsThedamagingeffectofliverfunctionofradiofrequencytreatmentwaslessseverethanoperations.TherewasnosignificantdifferencebetweentheAFPchangesofpatientsreceivedradiofrequencytreatmentandthoserecei
8、vedoperations.Concerningcomplications,hospitali
此文档下载收益归作者所有