摘要
目的探讨膈顶部小肝癌的射频消融治疗疗效及安全性。方法选择膈顶部小肝癌患者43例,共计67个病灶(直径≤3.0cm病灶52个,直径3.1～5.0cm病灶15个)在CT导向下行RFA术。结果病灶完全坏死率为92.5%(62/67),其中直径≤3cm的病灶完全坏死率94.2%(49/52),直径>3cm的病灶坏死率86.7%(13/15)。所有患者均未出现严重不良反应及并发症,并发症多为术后疼痛、胸闷、患侧胸腔积液、气胸、肝包膜下出血和呃逆等。结论膈顶部小肝癌行RFA治疗安全有效。
Objective To investigate the associated complication of small Hepatocellular carcinoma near the top of diaphragm with the treatment of radiofrequency ablation （RFA） and the safety of the CT-guided RFA. Methods 43 cases with 67 lesions received the intentional procedure of RFA. Results All lesions＇ completely necrosis rates was 92. 5% （62/67）, the lesions （diameter≤3.0 cm） was 94. 2% （49/52） and the lesions （diameter 〉 3. 1 cm） was 86. 7% （13/15） . There was no treatment-related mortality in the studied group. The major complications included ache （26 cases） , dyspnoea （7 cases）, pleural effusion （6 case）, pneumothorax （3 case）, tsubcapsular hemorrhag of liver （3 case）, hiccup （6 cases） . Conclusion RFA is a safe minimal invasive method in the treatment of small hepatocellular carcinoma near the top of diaphragm.
出处
《广州医药》
2007年第3期9-11,共3页
Guangzhou Medical Journal
关键词
肝脏肿瘤
治疗
射频消融
并发症
Liver neoplasms
Therapy
Radiofrequency ablation
Complication
