1、97中华肝脏病杂志2024年 2月第32卷第2期 Chin J Hepatol,February 2024,Vol.32,No.2影像引导原发性肝癌消融指南（2023版）中华医学会超声医学分会 中国研究型医院学会肿瘤介入专业委员会通信作者：梁萍，Email:；于杰，Email:解放军总医院第五医学中心介入超声科，北京 100039指南与共识【摘要】影像引导的原发性肝癌消融治疗具有疗效肯定、创伤小、操作简便、患者易耐受、住院时间短、恢复快、并发症少等优点，其中又以射频和微波经皮消融应用最为成熟，已被多个国内外指南认定为小肝癌的一线治疗方法。中国在消融治疗肝癌上积累了丰富经验，取得了体系化研究成果

2、。该指南规范了肝癌消融治疗的穿刺路径、引导技术、适应证、术前准备、操作方法、术后处理及随访、并发症防治策略等内容，并就影像引导原发性肝癌消融方式进行技术对比及其在综合治理中的地位进行阐述。【关键词】肝癌；消融；影像；指南Guidelines for image-guided ablation of primary liver cancer(2023 version)Chinese Society of Ultrasound in Medicine;Oncology Intervention Committee of Chinese Research Hospital SocietyCorres

3、ponding author:Liang Ping,Department of Interventional Ultrasound,Fifth Medical Center of Chinese PLA General Hospital,Beijing 100039,China,Email:Corresponding author:Yu Jie,Department of Interventional Ultrasound,Fifth Medical Center of Chinese PLA General Hospital,Beijing 100039,China,Email:【Abstr

4、act】Image-guided ablation for primary liver cancer has many advantages,including high efficacy,minimal invasion,easy operation,high tolerance,short hospitalization,fast recovery,and few complications.Percutaneous radiofrequency and microwave ablation are the most mature technologies,which have been

5、recognized by many domestic and foreign guidelines as the first-line treatment for small liver cancers.As a large country with large numbers of liver cancers,Chinese doctors have accumulated rich experience in ablation therapy for liver cancer and achieved systematic research results.This guideline

6、focused on the standardization of the puncture path,guidance techniques,indications,preoperative preparation,operation methods,postoperative treatment and follow-up,and complication prevention and treatment strategies for liver cancer ablation,and elaborates on the technical comparisons of image-gui