中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2010年
26期
31-33
,共3页
肾上腺%肿瘤转移%治疗结果%冷循环微波刀
腎上腺%腫瘤轉移%治療結果%冷循環微波刀
신상선%종류전이%치료결과%랭순배미파도
Adrenal gland%Neoplasm metastasis%Treatment outcome%Cold-circulated microwave scapel
目的 评价超声引导下冷循环微波刀治疗肾上腺转移瘤的临床效果及安全性.方法 选取肾上腺转移瘤患者共23例,病灶总数24个,其中病灶直径≤2.0cm者3个,2.1～3.9 cm者17个,4.0～5.9 cm者3个,≥6.0cm者1个,经冷循环微波刀治疗1个月后行螺旋CT双期增强扫描评价肿瘤治疗效果.结果 经冷循环微波刀治疗后肿瘤直径≤2.0、2.1～3.9、4.0～5.9、≥6.0cm的病灶达到完全坏死者分别为3、17、1、0个,不完全坏死者分别为0、0、2、0个,部分坏死者分别为0、0、0、1个.治疗中15例患者消融区域有不同程度疼痛感,3例患者出现血压升高,4例患者术后出现Ⅰ～Ⅱ度皮肤烧伤,经对症治疗后均缓解或痊愈.结论 冷循环微波刀治疗肾上腺转移瘤安全可靠,不良反应小,是治疗肾上腺转移瘤的有效方法之一.
目的 評價超聲引導下冷循環微波刀治療腎上腺轉移瘤的臨床效果及安全性.方法 選取腎上腺轉移瘤患者共23例,病竈總數24箇,其中病竈直徑≤2.0cm者3箇,2.1～3.9 cm者17箇,4.0～5.9 cm者3箇,≥6.0cm者1箇,經冷循環微波刀治療1箇月後行螺鏇CT雙期增彊掃描評價腫瘤治療效果.結果 經冷循環微波刀治療後腫瘤直徑≤2.0、2.1～3.9、4.0～5.9、≥6.0cm的病竈達到完全壞死者分彆為3、17、1、0箇,不完全壞死者分彆為0、0、2、0箇,部分壞死者分彆為0、0、0、1箇.治療中15例患者消融區域有不同程度疼痛感,3例患者齣現血壓升高,4例患者術後齣現Ⅰ～Ⅱ度皮膚燒傷,經對癥治療後均緩解或痊愈.結論 冷循環微波刀治療腎上腺轉移瘤安全可靠,不良反應小,是治療腎上腺轉移瘤的有效方法之一.
목적 평개초성인도하랭순배미파도치료신상선전이류적림상효과급안전성.방법 선취신상선전이류환자공23례,병조총수24개,기중병조직경≤2.0cm자3개,2.1～3.9 cm자17개,4.0～5.9 cm자3개,≥6.0cm자1개,경랭순배미파도치료1개월후행라선CT쌍기증강소묘평개종류치료효과.결과 경랭순배미파도치료후종류직경≤2.0、2.1～3.9、4.0～5.9、≥6.0cm적병조체도완전배사자분별위3、17、1、0개,불완전배사자분별위0、0、2、0개,부분배사자분별위0、0、0、1개.치료중15례환자소융구역유불동정도동통감,3례환자출현혈압승고,4례환자술후출현Ⅰ～Ⅱ도피부소상,경대증치료후균완해혹전유.결론 랭순배미파도치료신상선전이류안전가고,불량반응소,시치료신상선전이류적유효방법지일.
Objective To evaluate the clinical effect and security of cold-circulated microwave scapel on adrenal gland metastatic tumor. Methods Twenty-four focuses in 23 patients were treated,including 3 focuses diameter ≤2.0 cm, 17 focuses diameter 2.1 - 3.9 cm, 3 focuses diameter 4.0 - 5.9 cm,1 focus diameter ≥ 6.0 cm, the effects were evaluated by spiral CT scanning 1 month after treatment. Results The number of total necrosis focuses diameter ≤2.0,2.1 -3.9,4.0 -5.9, ≥6.0 cm after treatment were respectively 3, 17, 1, 0. In addition, not fully necrosis were 0, 0, 2, 0 and partial necrosis were 0, 0, 0,1. Fifteen cases after ablation treatment marked varying degrees of pain in the region, 3 cases of high blood pressure patients,4 cases occurred with Ⅰ - Ⅱ degree skin bums. The above cases were easing after symptomatic treatment. Conclusion The treatment of cold-circulated microwave scapel is secure,it is one of an effective method to adrenal gland metastatic tumor,with little adverse reaction.
