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激光治疗原发性肝癌初步报告

TREATMENT OF PRIMARY HEPATIC CANCER BY YAG LASER, A PRELIMINARY REPORT

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【作者】 余业勤汤钊猷周信达林芷英杨秉辉陆继珍周南桥陆健民卢浩煦

【Author】 Yu YE-QIN, TANG ZHAO-YOU, ZHOU XIN-DA, LIN ZHI-YING, YANG BING-HUI, Lu JI-ZHEN, ZHOU NAN-QIAO(Liver Cancer Research Unit, Zhcmgshan Hospital, Shanghai First Medical College, Shanghai)Lu JIAN-MIN, Lu HAO-XU(Laser Group, Zhongshan Hospital; Shanghai First Medical College, Shanghai)

【机构】 上海第一医学院中山医院肝癌研究室上海第一医学院中山医院激光组上海第一医学院中山医院激光组

【摘要】 <正>原发性肝癌(下称肝癌)外科治疗的效果近年来虽有所提高,但临床工作中,仍深感外科治疗手段太少,远不能满足临床的实际需要。六十年代以来,随着激光器的问世,采用激光治疗头面部和体表癌肿已屡有报道,但激光治疗内脏肿瘤特别是肝癌还未见报道;国外虽曾有用激光作肝部分切除和肝肿瘤气化方面的零星报告,但多为低功率激光动物实验结果。为了探索激光治疗肝癌是否可行及其安全性,我院自1975年10月迄今,在中国科学院上海光机所、上海医疗器械研究所、上海激光技术研究所和上海交通大学激光室等单位的大力协助下,应用上述单位研制的激光器进行动物肝的实验研究,结果尚令人满意,并已于1980年上半年予以报道。现就临床试用情况报道如下。

【Abstract】 Four oases of primary hepatic cancer had been resected by vaporization with YAG laser. The power density of the laser was set up as high as 0.87×103~1.28×104 watts per square centimeter. Both the experimental studies and clinical trials were all successful because the quality of coagulation was excellent. Following temporary occlusion of the first hepatic porta, bleeding oould be kept to minima. It is certainly superior than the ordinary surgical extirpation. Even in the cases of multiple nodules of hepatic cancers, all of the lessions oould be vaporized one after another without excessive blood loss. Post-operative complications, particularly related to laser, hadn’t been noticed.We were deeply impressed that such a strong YAG laser in a very promising,and quite reliable remedy. For the treatment of all relatively well localized primary hepatio cancers concerned, it can be considered as a new safe modality.

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