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| 1 | Advances in local ablation of malignant liver lesions显示文摘Local ablation of liver tumors matured during the recent years and is now proven to be an effective tool in the treatment of malignant liver lesions. Advances focus on the improvement of local tumor control by technical innovations, individual selection of imaging modalities, more accurate needle placement and the free choice of access to the liver. Considering data found in the current literature for conventional local ablative treatment strategies, virtually no single technology is able to demonstrate an unequivocal superiority. Hints at better performance of microwave compared to radiofrequency ablation regarding local tumor control, duration of the procedure and potentially achievable larger size of ablation areas favour the comparably more recent treatment modality; image fusion enables more patients to undergo ultrasound guided local ablation; magnetic resonance guidance may improve primary success rates in selected patients; navigation and robotics accelerate the needle placement and reduces deviation of needle positions; laparoscopic thermoablation results in larger ablation areas and therefore hypothetically better local tumor control under acceptable complication rates, but seems to be limited to patients with no, mild or moderate adhesions following earlier surgical procedures. Apart from that, most techniques appear technically feasible, albeit demanding. Which technology will in the long run become accepted, is subject to future work. | Robert M Eisele | 2016 | World Journal of Gastroenterology2016，22，15： | 7 |
| 2 | 肝癌术后复发灶的微波固化消融治疗分析显示文摘目的评估微波固化消融治疗肝癌复发灶的疗效和安全性。方法对32例肝癌术后复发的45个病灶行超声引导下经皮微波消融治疗,分析了肿瘤消融的坏死率、复发率和并发症。结果随访6~24月,有20例存活,占62.5%(20/32),8例患者因肿瘤进展死亡,2例因肝功能衰竭死亡,2例死于脑梗塞。本组患者病灶1次完全消融37个病灶,占82.2%(37/45),另外的8个特殊位置病灶行补充消融后,肿瘤完全灭活;消融术后无胃肠穿孔、出血、种植转移、胆漏、感染等严重并发症的发生,术后一过性疼痛、发热、肝功能损害较常见。结论微波固化消融治疗肝癌术后复发灶具有疗效确切、创伤小、并发症少的特点,值得推广应用。 | 王伯庆 薛峰 徐林 唐津天 丁伟 | 2015 | 世界最新医学信息文摘2015，0，61： | 3 |
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