Pless Torsten Kjaerulf, Skjoldbye Bjørn Ole
Odense Universitetshospital, Kirurgisk Afdeling A, Odense.
Ugeskr Laeger. 2008 Apr 14;170(16):1348-9.
Local treatment of non-resectable liver tumors is common. This brief review describes the local treatment techniques used in Denmark. The techniques are evaluated according to the evidence in literature. The primary local treatment is Radiofrequency Ablation of both primary liver tumors and liver metastasis. Radiofrequency treatment is based on case-control studies, but the impact of the treatment seems obvious. However, randomized controlled studies are necessary in the future in order to guide indications according to different stages of disease, techniques and treatment regimes.
不可切除性肝肿瘤的局部治疗很常见。本简要综述描述了丹麦所使用的局部治疗技术。这些技术根据文献中的证据进行评估。主要的局部治疗是对原发性肝癌和肝转移瘤进行射频消融。射频治疗基于病例对照研究,但其治疗效果似乎很明显。然而,未来有必要进行随机对照研究,以便根据疾病的不同阶段、技术和治疗方案来指导治疗指征。