[1]沈 强,王 能,盛月红,等.高功率微波消融治疗近大血管肝细胞癌33例[J].介入放射学杂志,2012,(05):391-394.
 ,,et al. Microwave ablation using high power output for the treatment of hepatocellular carcinoma located near the large vessels: initial results in 33 cases[J].journal interventional radiology,2012,(05):391-394.
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高功率微波消融治疗近大血管肝细胞癌33例 ()

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

卷:
期数:
2012年05期
页码:
391-394
栏目:
非血管介入
出版日期:
2012-05-30

文章信息/Info

Title:
 Microwave ablation using high power output for the treatment of hepatocellular carcinoma located near the large vessels: initial results in 33 cases
作者:
 沈 强 王 能 盛月红 钱国军
Author(s):
 SHEN Qiang WANG Neng SHENG Yuehong QIAN Guojun.
 Department of Minimal Invasion Therapy, Eastern Hepatobiliary Surgery Hospital, the Second Military Medical University of Chinese PLA, Shanghai 200438, China
关键词:
 【关键词】    肝细胞癌 微波 高功率近血管
文献标志码:
A
摘要:
 【摘要】 目的 评价近大血管的肝细胞癌(HCC)进行高功率微波消融治疗的疗效和安全性。方法 对 33例新发单发HCC的患者经皮肝穿刺微波消融治疗,该33病灶均为距离直径大于3 mm的血管0.5 cm以内,其中近门静脉支17例,近肝静脉12例,同时靠近的4例。所有患者均在B超引导下,采用单针或双针100 W的高功率微波热凝2 ~ 4 min。并作短期随访,观察肿瘤消融疗效及并发症情况。结果 所有患者均安全完成微创消融手术。2例(6.1%)出现局部肿瘤进展,7例(21.2%)出现新病灶(7/33),5例复查CT可见局部血供异常,5例消融灶远端出现胆管轻度扩张,另1例术后6个月出现肝门部胆管狭窄伴肝内胆管扩张。结论 高功率微波治疗近血管的肿瘤疗效肯定,但有造成胆管损伤的风险。

参考文献/References:

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备注/Memo

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 (收稿日期:20111212)
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