[1]罗荣光,顾仰葵,高飞,等.单针灌注电极射频消融治疗肝脏肿瘤疗效分析[J].介入放射学杂志,2010,(08):617.
 LUO Rongguang,GU Yangkui,GAO Fei,et al.Radiofrequency ablation of liver tumors by using monopolar perfusion electrode:an analysis of therapeutic results[J].journal interventional radiology,2010,(08):617.
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单针灌注电极射频消融治疗肝脏肿瘤疗效分析()

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

卷:
期数:
2010年08期
页码:
617
栏目:
非血管介入
出版日期:
2010-08-15

文章信息/Info

Title:
Radiofrequency ablation of liver tumors by using monopolar perfusion electrode:an analysis of therapeutic results
作者:
罗荣光顾仰葵高飞
510060广州华南肿瘤学国家重点实验室,中山大学负数肿瘤医院影像与微创介入中心(第一作者现在南昌大学第一附属医院影像科)
Author(s):
LUO Rong-guangGU Yang-kui GAO FeiZHANG LiangZHAO MingFAN Wei-junWU Pei-hongHUANG Jin-hua.
State Key Laboratory of Oncology in Southern China;Department of Medical Imaging&Interventional Radiology,Cancer Center,Sun Yat-sen University,Guangzhou510060,China
关键词:
射频肿瘤消融微创治疗
分类号:
R735.7
文献标志码:
A
摘要:
目的评价CT引导下单针灌注电极在肝脏肿瘤射频消融(RFA)治疗中的临床价值。方法2008年1月-2008年12月,在CT引导下对24例患者37枚肝脏肿瘤采用RITA UniBlate射频电极进行RFA治疗,其中单个肿瘤者14例,2枚肿瘤者7例,3枚肿瘤者3例;肿瘤最大径≤3cm者24枚,3.1~5cm者8枚,>5cm者5枚;随访期12个月。结果治疗后完全消融肿瘤22枚(22/37,59.5%),其中病灶长径小于3cm者19枚(19/24,79.2%),3.1~5cm者2枚(2/8),大于5cm者1枚(1/5);未完全消融肿瘤15枚(15/37,40.5%)。随访12个月仍存活者15例(15/24,62.5%);死亡患者9例(9/24,病死率37.5%)。10例AFP阳性患者中,术后5例下降至正常水平,3例虽有下降但仍高于正常,2例持续升高。RFA治疗后1例患者肝脏包膜下少量出血;患者均有不同程度发热和上腹部疼痛。结论CT引导下RITA UniBlate单针灌注电极RFA治疗创伤小、并发症发生率低,近期疗效确切,是肝脏肿瘤安全有效的局部治疗方法;对直径小于3cm的肿瘤1次消融有较高的完全消融率;对大于3cm的肿瘤,需行多点重叠消融并结合其他消融治疗方法以实现肿瘤病灶的完全消融。

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备注/Memo

备注/Memo:
收稿日期:2010-02-11
更新日期/Last Update: 2010-08-15