[1]杨业发,伍 路,申淑群,等.胆管冷却技术在中央胆管旁肝癌微波消融术中的应用[J].介入放射学杂志,2014,(12):1048-1051.
 YANG Ye fa,WU Lu,SHEN Shu qun,et al.Application of intraductal cooling technique in percutaneous microwave ablation for hepatocellular carcinomas adjacent to central bile duct [J].journal interventional radiology,2014,(12):1048-1051.
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胆管冷却技术在中央胆管旁肝癌微波消融术中的应用 ()

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

卷:
期数:
2014年12期
页码:
1048-1051
栏目:
非血管介入
出版日期:
2014-12-25

文章信息/Info

Title:
Application of intraductal cooling technique in percutaneous microwave ablation for hepatocellular carcinomas adjacent to central bile duct
作者:
杨业发 伍 路 申淑群 葛乃建 梁 军 张一军 于晓河 朱俊军 吴孟超
Author(s):
YANG Ye fa WU Lu SHEN Shu qun GE Nai jian LIANG Jun ZHANG Yi jun YU Xiao he ZHU Jun jun WU Meng chao.
Mini invasive Intervention Center, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai 200438, China
关键词:
【关键词】 微波消融 肝癌 胆道并发症 胆道冷却技术
文献标志码:
A
摘要:
【摘要】 目的 中央胆管旁肝癌被认为是热消融疗法的禁忌证,现报道一种全新的胆管冷却保护技术。方法 14例中央胆管旁肝癌患者接受了肝胆管冷却保护技术辅助下的经皮肝穿刺肝肿瘤微波消融术(PMWA)。结合文献报道及临床实践,探讨合理的标准手术流程并分析临床结果。结果 初始的14例患者顺利获得完全的微波消融,肝脏增强MRI显示均获得欧洲肝病研究学会(EASL)标准的完全缓解,未出现胆道并发症。结论 胆管冷却保护技术能够保护肝内胆管免受微波热能量损害,扩大了肝癌患者接受微波消融疗法的适应证范围,且可在肝癌微波消融术中重复使用。

参考文献/References:

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[2] 陈敏华. 超声引导肝肿瘤消融治疗的历史、 现状及问题[J]. 介入放射学杂志, 2014, 23: 463 465.
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[5] Ogawa T, Kawamoto H, Kobayashi Y, 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.
[6] EASL EORTC clinical practice guidelines: management of hepatocellular carcinoma[J]. J Hepatol, 2012, 56: 908 943.
[7] 中国抗癌协会肝癌专业委员会. 原发性肝癌规范化诊治的专家共识[J]. 中国消化内镜, 2009: 40 51.
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备注/Memo

备注/Memo:
(收稿日期:2014-06-20)
(本文编辑:边 佶)
更新日期/Last Update: 2014-12-24