作　　者： (张勇）;

机构地区： 甘肃省白银市第二人民医院肿瘤肛肠外科,甘肃白银730900

出　　处： 《中国肛肠病杂志》 2017年第7期16-17,共2页

摘　　要： 为观察氩氦刀治疗30例不适合再次手术切除的直肠癌肝转移患者的临床疗效，将30例直肠癌肝转移患者采用氩氦刀冷冻治疗。结果显示，83．33％患者冰球覆盖率超过90％，所有患者的冷冻区CT值跟手术前相比均显著下降，且差异显著（P〈0．05）。30例患者在术后6个月完全缓解5例、缓解13例、稳定7例、进展5例，治疗有效率为83．33％。出现并发症16例，并发症发生率为53．3％，经止痛、止血、抗感染等对症治疗，均在1周左右好转。结果表明，采用氩氦刀治疗直肠癌肝转移患者，疗效确切、安全可靠。 In order to observe the clinical efficacy of 30 patients with liver metastasis unable to be treated with the second surgery, 30 patients with liver metastasis from rectal cancer were treated with argon-helium knife. As results, 83.33% of patients had more than 90% hockey coverage, and the CT values of all patients were significantly lower than those before operation.There was statistical difference （ P〈0.05）. Among 30 patients ,there were 5 cases of complete remission at the 6th month after surgery, 13 cases of relief, stable in 7 cases,aggravation in 5 cases, the treatment efficiency was 83.33%. 16 cases were found complications; the incidence of complications was 53.3 %.All patients improved in about 1 week by analgesic, hemostasis, anti-inflammatory and other symptomatic treatments. The results showed that the treatment of patients with rectal cancer liver metastasis treated by argon-helium knife was certain effect and safe. Key Words Rectal cancer;Liver metastasis; Argon-helium knife

关 键 词： 直肠癌 肝转移 氩氦刀