CAJ | 학술논문

目的分析肝肿瘤CT引导下经皮射频消融重要并发症种类、影像学表现及防治方法。方法本组共分析了326例原发性肝癌和肝转移瘤患者，合计458个病灶，共消融944次，随访时间6～48个月。结果共14例患者出现并发症，包括肝脓肿3例（0.92%），肝包膜出血2例（0.63%），肝功能衰竭2例（0.63%），肾功能衰竭1例（0.32%），阻塞性黄疸1例（0.32%），电极处皮肤烧伤1例（0.32%），气胸1例（0.32%），血胸1例（0.32%），结肠穿孔1例（0.32%），针道种植转移1例。结论 CT引导下经皮射频消融治疗肝肿瘤是治疗肝肿瘤安全方法之一，术前详细评估患者、术后早期发现并发症及应用合适方法治疗会减少并发症发生。
목적분석간종류CT인도하경피사빈소융중요병발증충류、영상학표현급방치방법。방법본조공분석료326례원발성간암화간전이류환자，합계458개병조，공소융944차，수방시간6～48개월。결과공14례환자출현병발증，포괄간농종3례（0.92%），간포막출혈2례（0.63%），간공능쇠갈2례（0.63%），신공능쇠갈1례（0.32%），조새성황달1례（0.32%），전겁처피부소상1례（0.32%），기흉1례（0.32%），혈흉1례（0.32%），결장천공1례（0.32%），침도충식전이1례。결론 CT인도하경피사빈소융치료간종류시치료간종류안전방법지일，술전상세평고환자、술후조기발현병발증급응용합괄방법치료회감소병발증발생。
Objective To analyze the major complications of hepatic tumors with the treatment of radio-frequency ablation (RFA) and the safety of the CT-guided RFA. Methods Three hundred and twenty-six cases with 458 lesions received the interventional procedure of RFA including hepatocelluar carcinoma 268 cases and liver metastasis 58 cases. Every cases under 1-3 times of RFA consecutively and follow up 6-48 months respectively. Results The major complications included liver abscess (3 cases), peritoneal hemorrhage (2 cases), hepatic failure (2 cases), renal failure (1 case), obstructive jaundice (1 case), obstructive jaundice (1 case), electrode place skin burn (1 case), pneumothorax (1 cases), hemothorax (1 case), colon perforation (1 case), tumor seeding (1 case). Conclusion RFA is a relatively low-risk procedure for the treatment of hepatic tumors;the important strategies for decreasing the rate of complications are prevention, early detection, and proper management.