CAJ | 학술논문

目的探讨规范化射频消融治疗肝脏肿瘤的疗效、适应证、并发症和治疗规范.方法严格按照术前评估、术中完全损毁和术后即时评价的规范化操作程序,对421例肝脏肿瘤患者进行冷循环射频消融治疗,共634处病灶,行射频消融1121次.结果全组421例患者无术中死亡.全部634处病灶中有514处完全消融,占81.1%.其中最大径＜3 cm病灶的完全消融率为91.4%(382/418),3～5 cm病灶为78.9%(97/123),>5 cm病灶为37.6%(35/93).术后有147例(34.9%)出现一过性发热,136例(32.3%)出现腹痛,38例(9.0%)出现恶心,12例(2.9%)出现胸腔积液,2例(0.5%)出现肝脓肿,1例(0.2%)出现胆漏.结论规范化射频消融治疗肝脏肿瘤效果确切,无严重并发症发生.
목적 탐토규범화사빈소융치료간장종류적료효、괄응증、병발증화치료규범.방법 엄격안조술전평고、술중완전손훼화술후즉시평개적규범화조작정서,대421례간장종류환자진행랭순배사빈소융치료,공634처병조,행사빈소융1121차.결과 전조421례환자무술중사망.전부634처병조중유514처완전소융,점81.1%.기중최대경＜3 cm병조적완전소융솔위91.4%(382/418),3～5 cm병조위78.9%(97/123),>5 cm병조위37.6%(35/93).술후유147례(34.9%)출현일과성발열,136례(32.3%)출현복통,38례(9.0%)출현악심,12례(2.9%)출현흉강적액,2례(0.5%)출현간농종,1례(0.2%)출현담루.결론 규범화사빈소융치료간장종류효과학절,무엄중병발증발생.
Objective To investigate the effieaey, indication and complication of radiofrequeney ablation (RFA) with cool-tip needle in patients with hepatic malignancies. Methods 421 patients with hepatic malignancies underwent ultrasound-guided RFA with cool-tip needle under local anaesthesia. The tumor size was from 1.0 to 15 cm in diameter with an average diameter of 4.3 cm. Results The complete ablation (CA) rate was 91.4% (382/418) in the patients with a tumor ＜ 3 era, 78.9% (97/123) in those with a tumor of 3 to 5 cm and 37.6% (35/93) in the patients with a tumor > 5 cm. No patient died or changed to cellotomy during the 1121 times of RFA for 634 lesions in 421 patients. No hemorrhage oceurreded in any of these patients after the RFA treatment. The complications included abdominal pain in 32.3% ( 136/421 ), nausea in 9.0% (38/421), fever in 34.9% ( 147/421 ) and billary leakage in O. 2% ( 1/421 ) of the patients. Condnslan Ultrasound-guided pereutaneons radiofrequency ablation with cool-tip needle is effective and safe in the treatment of liver tumors.