CAJ | 학술논문

目的：评价经皮 CT 导引氩氦冷冻消融术治疗肾上腺肿瘤的安全性及可行性。方法对17例肾上腺肿瘤患者实施经皮CT 导引氩氦冷冻消融术，其中3例因肿瘤较大，术后3月行第2次消融治疗；4例因血供丰富消融前行动脉栓塞。8例嗜铬细胞瘤患者术中行动脉连续测压。结果所有患者操作均获得成功，术中及术后无严重并发症。8例嗜铬细胞瘤患者冷冻治疗前后及复温过程中血压变化差异有统计学意义(P <0.05)。在随访3~24月中，消融区域 CT 扫描无增强和/或 FDG PET-CT 无摄取。结论经皮 CT 导引氩氦冷冻消融术治疗肾上腺肿瘤安全可靠，尤其可用于不适宜外科手术患者的治疗。
목적：평개경피 CT 도인아양냉동소융술치료신상선종류적안전성급가행성。방법대17례신상선종류환자실시경피CT 도인아양냉동소융술，기중3례인종류교대，술후3월행제2차소융치료；4례인혈공봉부소융전행동맥전새。8례기락세포류환자술중행동맥련속측압。결과소유환자조작균획득성공，술중급술후무엄중병발증。8례기락세포류환자냉동치료전후급복온과정중혈압변화차이유통계학의의(P <0.05)。재수방3~24월중，소융구역 CT 소묘무증강화/혹 FDG PET-CT 무섭취。결론경피 CT 도인아양냉동소융술치료신상선종류안전가고，우기가용우불괄의외과수술환자적치료。
Objective To assess the safety and feasibility of CT-guided percutaneous argon-helium cryoablation in the treatment of adrenal tumors.Methods 1 7 patients with adrenal tumors were treated with CT-guided percutaneous argon-helium cryoablation. Three of these patients were retreated second cryoablation three months later due to the lager tumor diameters.Percutaneous tran-scatheter arterial embolization was performed in four patients because of rich blood supply before cryoablation.Continuous arterial blood pressure monitoring was performed in eight pheochromocytoma patients.Results Technical success was achieved in all pa-tients.There were no serious complications.Eight pheochromocytoma patients experienced a significant increase in systolic blood pressure and diastolic pressure when compared with the basic values (P <0.05).There were no enhancement on enhanced CT and/or up-take on FDG PET-CT in the ablated zones during the follow-up period (3-24months).Conclusion It is safety and efficacy of CT-guided percutaneous argon-helium cryoablation for adrenal tumor.It might be initial treatment of choice for the patients who were not suitable for resection.