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1、 19873Mouret1(LC)豸棬(CTACE)(RFA)(PEI)(MCT) 1 1.1 35g/L嵨25.7mol/L15min(ICGR-15)40%60%23(microwave coagulation)1020s11.5cm(Endo-GIA):1.5cm3cmEndo-GIA(argon-beam coagulator)3mm(ultrasonic scalpel)Endo-GIA(waterjet-cutter)(20m70m)顢飬41.2 (hand-assisted laparoscopic liver resection,HALLR) HALLRhandport 2 5
2、10 2.1 (TAE)(TACE)(TAE/TACE)TACETACESeldinger():34812TACE11TACETACETACETACETAE/TACE55%15%172%88%338%48%12TACE 2.2 PEI BCTMRI3cm(3)1500PEI105473cm35cm13100%81%92%48.9% 2.3 RFA 450500kHBCTEBV50桫100棬3.5cmTACERFACTMRI719991020001010075%21/28)21.43%(6/28)BMRICT5cm85.92%(61/71)RFARFA 2.4 MCT BCTMCT13Lu145
3、02.7cmMCT373%Itamoto1533MCT548.6%Seki16261.54.5cmHCCMCT87.5%392%112.5%Midorikakwa1738MCT51鲡MCT 2.5 2090-140棬20桫40棬忹BCT3cm6cmB1cmB棬(5cm)8%41%0%17%230%60%9,1819CT20 2.6 131I125I 32P-GMSBTACE138%42%2122 2.7 (HIFU) 赲HIFU PEI20%1/5560%(evidence-based medicine)/ Tomping RK. Laparoscopic cholecystectemy tr
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10、l-lular carcinoma: longterm results J. Hepatogastroenterology2001,48(41):1401-1405.Seki S, Sakaguchi H, Kadoya H, et al. Laparoscopic microwave coagulation therapy for hepatocellular carcinoma J. Endoscopy2000,32(8):591-597.Midorikawa T, Kumada K, Kikuchi H, et al. Microwave coagulation therapy for
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13、ma: high dose internal radiation therapy with superselective intraarterial injection of 131 I labeled lipiodol J. Cancer Chemother Pharmacol1994,33Suppl 1S128-133.Lau WY, Leung TW, Ho SK, et al. Adjuvant intra-arterial iodine131 labelled lipiodol for resectable bhepatocellular carcinoma: a prospective randomized trial J. L ancet1999,353(9155):797-801.