CAJ | 학술논문

目的：探讨磁共振成像导航系统引导下氩氦刀冷冻介入治疗肾错构瘤患者的手术技巧及临床应用价值，提高肾错构瘤的诊疗水平。方法回顾性分析18例进行氩氦刀冷冻介入治疗的肾错构瘤患者的临床资料，观察患者的手术出血量、住院时间、并发症及临床疗效。结果所有患者术后均无明显出血，术后平均住院时间2．5 d；术后B超、M RI复查肿瘤明显缩小纤维化，部分患者肿瘤吸收消失，无肿瘤局部增大复发。结论磁共振成像导航系统引导下氩氦刀冷冻介入治疗肾错构瘤具有出血少、并发症少、住院时间短、恢复快等优点，能很好地保留正常肾组织、完整破坏错构瘤组织，是一种简捷有效的微创治疗新方法。
목적：탐토자공진성상도항계통인도하아양도냉동개입치료신착구류환자적수술기교급림상응용개치，제고신착구류적진료수평。방법회고성분석18례진행아양도냉동개입치료적신착구류환자적림상자료，관찰환자적수술출혈량、주원시간、병발증급림상료효。결과소유환자술후균무명현출혈，술후평균주원시간2．5 d；술후B초、M RI복사종류명현축소섬유화，부분환자종류흡수소실，무종류국부증대복발。결론자공진성상도항계통인도하아양도냉동개입치료신착구류구유출혈소、병발증소、주원시간단、회복쾌등우점，능흔호지보류정상신조직、완정파배착구류조직，시일충간첩유효적미창치료신방법。
ABSTRACT:Objective To investigate the application value of magnetic resonance imaging navigation system guided argon helium cryoablation in the treatment of renal hamartoma .Methods The clinical data of 18 patients with renal hamartoma who underwent interventional therapy of argon helium cryoablation were retrospectively analyzed .The bleeding volume ,oper‐ation time ,complications and clinical efficacy were observed .Results All patients had no obvious bleeding .The average length of postoperative stay was 2 .5 d .B ultrasound and MRI scan found tumor fibrosis was significantly reduced or partially absorbed .No tumor recurrence was detected .Conclusions Navigation system MRI guided argon helium cryoablation has ad‐vantages of little bleeding ,few complications ,short hospitalization time ,and rapid recovery .It can retain normal renal tissue while completely destruct hamartoma .It is a simple ,effective and minimally invasive treatment .