CAJ | 학술논문

目的探讨CT导引下氩氦刀治疗体部肿瘤的可行性及安全性。方法25例经病理证实的体部肿瘤患者的34处病灶在CT导引下经皮行氩氦刀冷冻消融治疗，病灶最大径范围2.0～12.5 cm，术后计算冰球覆盖率。结果53%（18/34）的病灶冰球覆盖率为90%～100%（I级），38.2%（13/34）的病灶冰球覆盖率为80%～90%（I级），8.8%（3/34）的病灶冰球覆盖率＜80%（I I级）；并发症发生率16%（4/25）；所有病灶穿刺准确率为100%，首次进针准确率为94.5%（52/55）。结论 CT定位准确性高，氩氦刀微创冷冻消融对体部肿瘤具有良好的治疗效果，安全性及使用价值较高，有广泛的临床应用价值。
목적탐토CT도인하아양도치료체부종류적가행성급안전성。방법25례경병리증실적체부종류환자적34처병조재CT도인하경피행아양도냉동소융치료，병조최대경범위2.0～12.5 cm，술후계산빙구복개솔。결과53%（18/34）적병조빙구복개솔위90%～100%（I급），38.2%（13/34）적병조빙구복개솔위80%～90%（I급），8.8%（3/34）적병조빙구복개솔＜80%（I I급）；병발증발생솔16%（4/25）；소유병조천자준학솔위100%，수차진침준학솔위94.5%（52/55）。결론 CT정위준학성고，아양도미창냉동소융대체부종류구유량호적치료효과，안전성급사용개치교고，유엄범적림상응용개치。
Objective To investigate the feasibility and safety for AHCS(argon-helium cryosurgery system) by CT-guided in the treatment of body tumors . Methods 25 patients with body tumors(34 lesions) conifrmed by pathology were treated by cryoablation ACHS CT-guided and then ice hockey coverage ratio was calculated.Maximum lesion diameter range 2.0~12.5 cm. Results 53%(18/34), 38.2%(13/34) and 8.8%(3/34) of the lesions hockey coverage rate was 90%to 100%, 80%to 90%and less than 80%. The complications rate is 16%. All lesions puncture accuracy rate was 100%, the ifrst needle accuracy rate was 94.5%(52/55). Conclusion CT positioning has high accuracy. argon-helium knife minimally invasive cryoablation has a good therapeutic effect on tumor, safety and higher value. It is worthy of popularizing.