CAJ | 학술논문

目的：总结多极射频消融术治疗肝癌并发症发生的原因及其防治对策。方法对106例肝癌患者共进行多极射频组织治疗238例次，通过临床观察，分析肝癌多极射频消融术并发症发生的原因，以及并发症的处理。结果106例患者术后最常见的并发症是发热、疼痛及恶心呕吐，严重并发症如心血管意外、血气胸、出血共发生3例，死亡1例。结论虽然多极射频消融术治疗中晚期肝癌疗效确切，但任何并发症均可能发生，理解及规范操作技术能够预防及合理处理并发症。
목적：총결다겁사빈소융술치료간암병발증발생적원인급기방치대책。방법대106례간암환자공진행다겁사빈조직치료238례차，통과림상관찰，분석간암다겁사빈소융술병발증발생적원인，이급병발증적처리。결과106례환자술후최상견적병발증시발열、동통급악심구토，엄중병발증여심혈관의외、혈기흉、출혈공발생3례，사망1례。결론수연다겁사빈소융술치료중만기간암료효학절，단임하병발증균가능발생，리해급규범조작기술능구예방급합리처리병발증。
Objective To summarize the causes of the complications related to multipolar radiofrequency ablation treatment for liver cancers, and to discuss the prevention countermeasure. Methods A total of 106 cases with hepatocellular carcinoma were enrolled in this study. Multipolar radiofrequency ablation treatment (238 times in total) was carried out for these patients. Through clinical observation, the causes of complications produced by multipolar radiofrequency ablation were analyzed. Results The most common postoperative complications were fever, pain, nausea and vomiting. Severe complications included cardiovascular accident, pneumothorax and bleeding, which occurred in 3 cases with one death. Conclusion Although the treatment of advanced liver cancer with multipolar radiofrequency ablation has been proven to be an effective method, various complications may occur. A full understanding of these complications and standardized manipulation technique will help prevent the occurrence of the complications and manage them as well once they occur.(J Intervent Radiol, 2014, 23:343-345).