超声引导下肝癌射频消融术的疗效及其对患者生命质量的影响.pdf

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1、·2286·施美玲，等超声引导下肝癌射频消融术的疗效及其对患者生命质量的影响380—382．较[J]．中国I临床医学，2009，16(3)：369—371．[8]MukoubayashiC，YanaokaK，OhataH，eta1．Serumpepsinogenand[1O]高天利，焦同立．血清肿瘤标志物在消化系统恶性肿瘤诊断中gastriccancersc~enⅡlg[j]．IntenMed，2007，46(6)：261—的价值[J]．肿瘤基础与l临床，2010，23(5)：427—428．262．(编校：贺培培)[9]郭花，朱金水，朱励，等．

2、肿瘤标志物对胃癌诊断应用价值的比超声引导下肝癌射频消融术的疗效及其对患者生命质量的影响施美玲，施朕善Eficiencyofultrasound——guidedpercutaneousradiofrequencyablationanditsinfluenceofqualityoflifeforpatientswithheptaticcancerShiMeiling．ShiZhenshanDepartmentofInfectiousDiseases，TheFirstPeople'sHospitalofShangqiuCity，HenanShangqi

3、u476100，China；DeparmtnetofOncolo—gY，People'sHospitalofBozhou，AnhuiBozhou236000，China．【Abstract】0bjective：Toobservetheclinicalefficacyofuhrasound—guidedpercutaneousradiofrequencyablationanditsinfluenceofqualityoflifeforpatientswithhepaticcancer．Methods：All92hepaticcancerpatien

4、tsunderwentultrasound—guidedpercutaneousradiofrequencyablationwerereviewedretrospectively，143lesionsweretreated．Comprehensivecarewasgiventopatientsperioperatively．Serologicalandradiologicaldetectionsweredonebeforeandafterthesurgery，andassessedthequalityoflifeusingGeneralQuest

5、ionnaireandQualityoflifeScaleforlivercancerpatients．Results：Symptomsof97．9％livercancerpatientsgotvariousdegreesofreliefpostoperativelyandnoseriouscomplications．Theleveloftransaminaseincreasedtransientlyandrecoveredafteraweek．AFPleveldecreasedsignifi—cantlycomparedwiththepreop

6、eration．HCClesionscompleteablationratewas71．3％．theinsufficiencyablationratewas28．7％．1一yearand2一yearoverallsurvivalrateswere90．7％．73．2％respectively．Conclusion：RFAisanef-fective，safe，littlesideefectnOll—surgicaltreatmentoflivercancerwhichcanimprovethequalityoflifeofpatients．Com

7、prehensivecareplaysanimportantroleinsuccessfulcompletionofRFAandpostoperativerehabilitation．【Keywords】radiofrequeneyablation；hepaticcancer；uhrsound—guided；qualityoflifeModemOneology2013，21(10)：2286—2288【摘要】目的：观察超声引导下肝癌射频消融术的疗效及其对患者生命质量的影响。方法：92例肝癌143个病灶行超声引导下射频消融术治疗。于围手术期给予患者

8、综合护理，分别于术前、术后进行血清学和影像学检查，并应用肝癌生命质量量表测定生命质量。结果：97．9％的肝癌患者RFA术后症状有不同程度