CAJ | 학술논문

目的探讨高频介导热治疗(HITT)在治疗肝脏乏血供肿瘤中的价值. 方法 67例肝脏乏血供肿瘤,共121个病灶,采用以HITT为主的治疗策略进行综合治疗,包括必要的胆道引流术(24/67)及化学治疗. 结果 HITT射频消融术后1周行CT复查,114个病灶完全灭活,单次治疗成功率达94.3%(114/121);7个病灶边缘部分残留,经补充治疗后,达到治疗成功.近期随访的患者平均生存期为(12.5±1.3)个月.患者主要不良反应包括局部出血、术后疼痛、肝功能损害及发热等,经积极对症支持治疗均恢复正常. 结论 HITT在肝脏乏血供肿瘤的治疗中有较高的临床应用价值.
목적 탐토고빈개도열치료(HITT)재치료간장핍혈공종류중적개치. 방법 67례간장핍혈공종류,공121개병조,채용이HITT위주적치료책략진행종합치료,포괄필요적담도인류술(24/67)급화학치료. 결과 HITT사빈소융술후1주행CT복사,114개병조완전멸활,단차치료성공솔체94.3%(114/121);7개병조변연부분잔류,경보충치료후,체도치료성공.근기수방적환자평균생존기위(12.5±1.3)개월.환자주요불량반응포괄국부출혈、술후동통、간공능손해급발열등,경적겁대증지지치료균회복정상. 결론 HITT재간장핍혈공종류적치료중유교고적림상응용개치.
Objective To evaluate the therapeutic effect of CT-guided high frequency-induced thermotherapy(HITT) on insufficienct blood supply turnout in liver. Methods Sixty-seven patients with 121 lesions treated with HITT after percutaneous transhepatic cholangial drainage (PTCD)or endoprosthesis implantation(24/67) and followed by chemotherapy. Results CT scan was repeated 1 week after HITT. The achievement ratio of single therapy was 94.3% (114/121). The mean survival time in the near future was (12.5±1.3) months. The adverse effects included topo-bleeding, pain after procedure, funtional lesions of liver and fervescence. All the patients recovered after symptomatic treatment. Conclusion The clinical application value of CT-guided HITT for insufficienct blood supply tumour in liver is obvious.