[1]李建军,郑加生,崔雄伟,等. 肝肿瘤CT引导经皮射频消融术后胆道并发症防治[J].介入放射学杂志,2011,(12):984-987.
 LI Jian-jun,ZHENG Jia-sheng,CUI Xiong-wei,et al.The prevention and treatment of biliary complications occurred after CT-guided percutaneous radiofrequency ablation for hepatic neoplasms[J].journal interventional radiology,2011,(12):984-987.
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 肝肿瘤CT引导经皮射频消融术后胆道并发症防治 ()

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

卷:
期数:
2011年12期
页码:
984-987
栏目:
非血管介入
出版日期:
2011-12-30

文章信息/Info

Title:
The prevention and treatment of biliary complications occurred after CT-guided percutaneous radiofrequency ablation for hepatic neoplasms
作者:
 李建军 郑加生 崔雄伟 崔石昌 孙 斌
100069  首都医科大学附属北京佑安医院肿瘤肝胆微创介入中心
Author(s):

LI Jian-jun ZHENG Jia-sheng CUI Xiong-wei CUI Shi-chang SUN Bin.

Oncology and Hepatobiliary Minimally Invasive Interventional Center, Beijing Youan Hospital, Capital Medical University, Beijing 100069, China
关键词:
 【关键词】 肝肿瘤 射频消融 胆道 并发症
分类号:
R735.7
文献标志码:
A
摘要:
 【摘要】 目的 分析肝肿瘤CT引导经皮射频消融(RFA)术后胆道并发症的防治。方法 1 136例肝肿瘤患者共行RFA 1 944例次。其中35例次(35/1 944,1.80%)出现胆道并发症,观察胆道并发症类型及治疗方法。结果 35例次胆道并发症中无症状胆管分支扩张12例,未予特殊治疗。梗阻性黄疸2例,均行经皮肝穿胆道引流术(PTCD)结合内支架植入治疗。胆汁瘤 18例,其中7例胆汁瘤继发感染形成肝脓肿。均行经皮肝穿胆汁瘤引流术(PTBD)。梗阻性黄疸合并胆汁瘤1例,同时行PTCD和PTBD结合内支架植入治疗。梗阻性黄疸继发胆汁瘤1例,先行PTCD,然后行PTBD治疗。胆汁瘤继发梗阻性黄疸1例,先行PTBD,然后行PTCD治疗。结论 梗阻性黄疸和胆汁瘤是CT引导肝肿瘤经皮RFA后症状较重的胆道并发症,应及时行PTCD/PTBD术治疗,治疗后症状可缓解或消失。

参考文献/References:

[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, 18: 367 - 369.
[2] 郑云峰, 陈克敏, 王忠敏, 等. CT引导下经皮射频消融治疗较大原发性肝癌的临床应用[J]. 介入放射学杂志, 2009, 18: 353 - 356.
[3] 王忠敏, 李麟荪. 重视肿瘤射频消融治疗[J]. 介入放射学杂志, 2010, 19: 89 - 90.
[4] Cizginer S, Tatli S, Hurwitz S, et al. Biochemical and hematologic changes after percutaneous radiofrequency ablation of liver tumors: experience in 83 procedures[J]. J Vasc Interv Radiol, 2011, 22: 471 - 478.
[5] Rode A. Radiological treatment of hepatocellular carcinoma in 2010[J]. Cancer Radiother, 2011, 15: 21 - 27.
[6] Tsuneyoshi O, Hirofumi K, Yoshiyuki K, et al. Prevention of biliary complication in radiofrequency ablation for hepatocellular carcinoma-Cooling effect by endoscopic nasobiliary drainage tube[J]. Eur J Radiol, 2010, 73: 385 - 390.
[7] 刘念洲, 马宽生, 高 峻, 等. 射频消融术后胆管损伤的病理学研究[J]. 消化外科, 2006, 5: 223 - 226.

The prevention and treatment of biliary complications occurred after CT-guided percutaneous radiofrequency ablation for hepatic neoplasms

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备注/Memo

备注/Memo:
(收稿日期:2011-09-15)
更新日期/Last Update: