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超声引导下肝脏肿瘤消融治疗的现状与思考

周燕 丁建民 王彦冬 经翔

肿瘤防治研究2025,Vol.52Issue(4):274-280,7.
肿瘤防治研究2025,Vol.52Issue(4):274-280,7.DOI:10.3971/j.issn.1000-8578.2025.24.1070

超声引导下肝脏肿瘤消融治疗的现状与思考

Current Status and Challenges of Ultrasound-Guided Ablation Therapy for Liver Cancer

周燕 1丁建民 1王彦冬 1经翔1

作者信息

  • 1. 300170 天津,天津市第三中心医院超声科||300170 天津,天津市肝胆疾病研究所,天津市人工细胞工程技术研究中心,天津市重症疾病体外生命支持实验室
  • 折叠

摘要

Abstract

Ultrasound-guided local ablation therapy for liver tumors has extensive clinical application because of its minimal invasiveness,proven effectiveness,low complication rates,and suitability for repeat treatments.Ultrasound-guided interventional therapy has continuously evolved in terms of the following:technological advancements,from the initial utilization of percutaneous ethanol injection to thermal ablation therapies exemplified by radiofrequency ablation and microwave ablation and presently advancing toward emerging techniques such as irreversible electroporation;imaging methods,from conventional ultrasound guidance to contrast-enhanced ultrasound and fusion imaging for precise guidance and assessment;supplementary strategies,from monotherapy to auxiliary method and synergistic therapy;and innovative treatment concepts,from early-stage small hepatocellular carcinoma to intermediate and even large liver cancers.The development of ultrasound-guided local ablation of liver cancers has progressed from an initial phase of rapid advancement to a mature stage characterized by further enhancements.This article provides a comprehensive overview of the status of technical equipment,treatment processes,efficacy,complications,and challenges encountered in ultrasound-guided local ablation for liver tumors,with the objective of offering valuable insights for interventional ultrasound physicians.

关键词

局部消融/微波消融/射频消融/肝癌/超声介入

Key words

Local ablation/Microwave ablation/Radiofrequency ablation/Liv-er cancer/Interventional ultrasound

分类

临床医学

引用本文复制引用

周燕,丁建民,王彦冬,经翔..超声引导下肝脏肿瘤消融治疗的现状与思考[J].肿瘤防治研究,2025,52(4):274-280,7.

基金项目

国家自然科学基金(82371986) National Natural Science Fo-undation of China(No.82371986) (82371986)

肿瘤防治研究

1000-8578

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