[1]李建军,郑加生,崔雄伟,等.CT引导下肝肿瘤射频消融治疗的并发症分析[J].介入放射学杂志,2009,(05):367.
　LI Jian-jun,ZHENG Jia-sheng,CUI Xiong-wei,et al.CT-guided radiofrequency ablation of hepatic tumor：an analysis of complications[J].journal interventional radiology,2009,(05):367.
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CT引导下肝肿瘤射频消融治疗的并发症分析()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2009年05期
页码:
367
栏目:
非血管介入
出版日期:
2009-05-15

文章信息/Info

Title:
CT-guided radiofrequency ablation of hepatic tumor：an analysis of complications
作者:
李建军; 郑加生; 崔雄伟; 等
１０００６９首都医科大学附属北京佑安医院肿瘤肝胆介入治疗中心
Author(s):
LI Jian-jun; ZHENG Jia-sheng; CUI Xiong-wei; JI Wei; SUN Bin; LI Rui; SHI Qin-sheng; GAO Wen-feng; WANG Chun-hua．
LI Jian-jun，ZHENG Jia-sheng，CUI Xiong-wei，JI Wei，SUN Bin，LI Rui，SHI Qin-sheng，GAO Wen-feng，WANG Chun-hua．Department of Oncology and Hepatobiliary Interventional Center，the Beijing Youan Hospital，Capital Medical University，Beijing１０００６９，China
关键词:
肝肿瘤; 射频消融; 并发症
分类号:
R７３０.５；R７３５.７
文献标志码:
A
摘要:
目的分析CT引导下肝肿瘤射频消融（RFA）治疗的并发症及处理。方法２５２例肝肿瘤患者，其中原发性肝癌２３４例，肝转移癌１１例，肝血管瘤７例。所有患者先行肝动脉栓塞术（TAE），然后在CT引导下行RFA治疗。肿瘤共计３８５个，直径为０．５～１６cm，行RFA４２４例次，共计７３５个位点。结果１３例次（１３／４２４，３．０６％）出现并发症，分别为肝被膜下出血６例次，其中１例肝血管瘤患者出现失血性休克，急诊行肝动脉栓塞后出血控制，余患者经内科止血治疗后好转；气胸５例次，其中１例气胸量为９０％，经胸腔闭式引流后吸收，余为少量气胸，自行吸收；胆汁瘤１例，经皮肝穿胆汁瘤引流后消失；无症状胆管分支扩张１例，未予特殊处理，自行好转。未出现死亡病例。结论CT引导肝肿瘤RFA治疗是安全的，常见并发症为肝被膜下出血和气胸，经治疗后可痊愈。

参考文献/References:

［１］Liao GS，Yu CY，Shih ML，et al．Radiofrequency ablation after transarterial embolization as therapy for patients with unresectable hepatocellular carcinoma［J］．Eur J Surg Oncol，２００８，３４：６１-６６．
［２］田建明．CT引导下经皮肿瘤消融术应用现状［J］．介入放射学杂志，２００７，１６：７９３-７９５．
［３］吴宇

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备注/Memo

备注/Memo:
收稿日期：２００９-０１-０４
更新日期/Last Update: 2009-05-15