[1]伍路,杨业发,申淑群,等.门静脉癌栓微波消融及射频消融治疗80例分析[J].介入放射学杂志,2016,(06):510-514.
 WU Lu,YANG Ye-fa,SHEN Shu-qun,et al.Percutaneous microwave ablation and radiofrequency ablation for the treatment of portal vein tumor thrombus: clinical analysis of 80 cases [J].journal interventional radiology,2016,(06):510-514.
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门静脉癌栓微波消融及射频消融治疗80例分析 ()

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

卷:
期数:
2016年06期
页码:
510-514
栏目:
非血管介入
出版日期:
2016-06-25

文章信息/Info

Title:
Percutaneous microwave ablation and radiofrequency ablation for the treatment of portal vein tumor thrombus: clinical analysis of 80 cases

作者:
伍路杨业发申淑群葛乃建张一军朱俊军刘学石志勇黄剑吴孟超
Author(s):
WU Lu YANG Ye-fa SHEN Shu-qun GE Nai-jian ZHANG Yi-jun ZHU Jun-jun LIU Xue SHI Zhi-yong HUANG Jian WU Meng-chao
Minimally-Invasive Interventional Center, Affiliated Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai 200438, China
关键词:
【关键词】射频消融 肝癌 门静脉癌栓
文献标志码:
A
摘要:
【摘要】目的报道两种针对肝癌门静脉癌栓的治疗技术,并比较其疗效。方法本研究共纳入162例肝癌合并门脉癌栓的患者。治疗组中80例患者在经肝动脉插管化疗栓塞术(TACE)基础上接受了直接微波消融术、射频消融等治疗方案,对照组82例患者仅接受TACE术。结合文献报道及医疗实践,我们探讨了合理的标准手术流程并分析了临床结果。结果未观察到严重并发症。术后3个月时复查肝脏增强MRI显示5例(6.2%)患者静脉癌栓完全消失,14例(17.5%)患者静脉癌栓明显缩小,43例(53.8%)静脉癌栓稳定,18例(22.5%)静脉癌栓进展。治疗组门静脉癌栓进展显著慢于对照组(P<0.001)。结论直接微波消融术用于肝内段门静脉癌栓,经皮肝穿刺门静脉消融导管术用于肝外段门静脉癌栓上较为安全有效。

参考文献/References:

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7]中国抗癌协会肝癌专业委员会, 中国抗癌协会临床肿瘤学协作专业委员会, 中华医学会肝病学分会肝癌学组. 原发性肝癌规范化诊治的专家共识[J. 中华医学信息导报, 2009, 24 22-23.

8Thanos L, Sotiropoulou E, Tanteles S, et al. Direct radiofrequency ablation of portal vein tumor thrombus in continuity with hepatocellular carcinomaJ. J Vasc Interv Radiol, 2010, 21: 285-288.

9Giorgio A, Di Sarno A, De Stefano G, et al. Hepatocellular carcinoma with cirrhosis: are patients with neoplastic main portal vein invasion eligible for percutaneous radiofrequency ablation of both the nodule and the portal venous tumor thrombus?J. AJR Am J Roentgenol, 2009, 193: 948-954.

10]葛乃建, 杨业发, 申淑群, . 经皮穿刺射频消融治疗门静脉癌栓15例[J. 介入放射学杂志, 2014, 23 883-886.

 

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备注/Memo

备注/Memo:
(收稿日期:2015-05-22)


(本文编辑:俞瑞纲)
更新日期/Last Update: 2016-06-21