肝癌电子杂志 ›› 2021, Vol. 8 ›› Issue (2): 57-61.

• 综述 • 上一篇    下一篇

不可逆电穿孔消融在肝癌治疗中的全流程管理策略

武慧铭1, 赵建军2,*   

  1. 1.哈尔滨医科大学附属第三临床医学院医学影像学系,黑龙江 哈尔滨 150081;
    2.国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院肝胆外科,北京 100012
  • 收稿日期:2020-11-30 发布日期:2021-07-16
  • 通讯作者: *赵建军,E-mail: zjj8424@sina.com
  • 作者简介:武慧铭, 本科在读,哈尔滨医科大学附属第三临床医学院,医学影像学系
  • 基金资助:
    中国传染病国家重点项目(2018ZX10723204005003),中国癌症基金会北京希望马拉松专项资金(LC2020A35 ); 深圳市“医疗卫生三名工程”项目(SZSM202011010)

The whole process management strategy of irreversible electroporation in the treatment of liver cancer

Wu Huiming1, Zhao Jianjun2,*   

  1. 1. Undergraduate of Medical Imaging, the Third Affiliated Clinical College of Harbin Medical University, Harbin 150081 Heilongjiang, China;
    2. Department of Hepatobiliary Surgery, National Cancer Center/National Clinical Research Center for Oncology/Cancer Hospital Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100012, China
  • Received:2020-11-30 Published:2021-07-16

摘要: 自2015年,不可逆电穿孔消融引进我国并批准应用于临床。至今,我国部分较大规模的中心及其专家已在该技术的应用上积累了丰富的经验,但是作为一项新技术,其在推广及临床应用方面还存在较多盲点和误区。因此,本文主要从不可逆电穿孔消融治疗肝癌的基本原理和优势、术前病例筛选、术中操作要点、术后管理、疗效评估、安全性与并发症和技术劣势与局限性等方面进行阐述和探讨,并对不可逆电穿孔消融的未来做一展望。

关键词: 不可逆电穿孔消融, 肝癌, 全流程管理策略

Abstract: Since 2015, irreversible electroporation has been introduced and approved for clinical use in China. So far, some large-scale centers and their experts in China have accumulated rich experience in the application of this technology. However, as a new technology, there are still many blind spots and misunderstandings in its technical promotion and clinical application. Therefore, this paper mainly discusses the basic principles and advantages of irreversible electroporation in the treatment of liver cancer, preoperative case screening, intraoperative operative points, postoperative management, efficacy evaluation, safety and complications, technical disadvantages and limitations, and makes a prospect for the future of irreversible electroporation.

Key words: Irreversible electric ablation technology, Liver cancer, Whole process management strategy