【摘要】 目的比较经皮CT引导射频与术中开腹彩超引导下射频治疗结直肠癌肝转移的疗效及安全性。方法回顾性分析自2013年1月至2018年12月辽宁省肿瘤医院收治的200例结直肠癌肝转移患者临床资料。根据射频方式将患者分为彩超引导下射频组(n=100)与经皮CT引导射频组(n=100)。比较两组患者术后1年局部复发率、疾病无进展生存期、并发症发生率、住院时间和花费。结果两种患者疾病无进展生存期、1年复发率、并发症发生率比较,差异无统计学意义(P>0.05)。彩超引导下射频组平均住院花费为高于经皮CT引导射频组,两组比较,差异有统计学意义(P<0.05)。彩超引导下射频组平均住院时间为(7.0±0.2)d,经皮CT引导射频组为(6.0±0.3)d,两组比较,差异有统计学意义(P<0.05)。结论彩超引导下射频和经皮CT引导射频两种方法各有优缺点,彩超引导下射频可以直视肝表面,全面、多方位的检查肝,不容易遗漏肝病灶。更多还原

【Abstract】 Objective To compare the efficacy and safety of percutaneous CT guided radio-frequency and intraoperative laparotomy guided radio-frequency in the treatment of hepatic metastasis of colorectal cancer.Methods A retrospective study was performed on 200 cases of patients with hepatic metastasis of colorectal cancer who were admitted from January 2013 to December 2018.Patients were divided into color ultrasound-guided radio-frequency group(n=100) and percutaneous CT guided radio-frequency group(n=100) according to radio-frequency mode.The local recurrence rate,progression-free survival,complication rate,length of hospital stay and cost were compared between the two groups.Results The median progressive-free survival,1-year recurrence rate and complication rate of the two patients showed no statistically significant difference(P>0.05).The average hospitalization cost of the radio-frequency group under the guidance of color ultrasound was higher than that in percutaneous CT guided radio-frequency group.The difference between the two groups was statistically significant(P<0.05).The median hospital stay in the radio-frequency group under color ultrasound guidance was(7.0±0.2) days,and that in the radio-frequency group under percutaneous CT guidance was(6.0±0.3) days(P<0.05).Conclusion The two methods of radio-frequency guided by color ultrasound and percutaneous CT have their own advantages and disadvantages.Radio-frequency guided by color ultrasound can directly look at the liver surface,comprehensively examine the liver,and it is not easy to miss liver lesions.更多还原