实用医学杂志
實用醫學雜誌
실용의학잡지
THE JOURNAL OF PRACTICAL MEDICINE
2014年
18期
2961-2963
,共3页
张奥华%徐净%李凯%苏中振
張奧華%徐淨%李凱%囌中振
장오화%서정%리개%소중진
人工胸腔积液%微波消融%肝脏穹窿部%肝癌
人工胸腔積液%微波消融%肝髒穹窿部%肝癌
인공흉강적액%미파소융%간장궁륭부%간암
Artificial pleural effusion%Microwave ablation%Hepatic dome%Liver cancer
目的：探讨人工胸腔积液协助经皮微波消融位于肝脏穹窿部肝癌的临床价值。方法：28例患者共34个病灶，所有病灶均因位于肝脏穹窿部受肺气遮挡而显示不清。采用超声实时引导下人工注入适量胸腔积液，并行经皮微波肝癌消融治疗。观察人工注入胸腔积液的量及其成功率、病灶显示率、肿瘤完全消融率、相关并发症等。结果：人工注入胸腔积液200～1000 mL[（388±107）mL]，成功率为100．0％（28/28）；病灶显示率85．3％（29/34），另外5个病灶因其回声与肝组织相近常规超声显示不清，行超声造影后可清晰显示。肿瘤完全消融率100％（34/34）；消融术后，1例患者出现少量腹腔出血，相关并发症发生率2．9％（1/34）。结论：人工胸腔积液协助经皮微波消融肝脏穹窿部肝癌是一种安全、有效的治疗方法，拓宽了经皮微波消融的治疗范围，值得临床进一步推广应用。
目的：探討人工胸腔積液協助經皮微波消融位于肝髒穹窿部肝癌的臨床價值。方法：28例患者共34箇病竈，所有病竈均因位于肝髒穹窿部受肺氣遮擋而顯示不清。採用超聲實時引導下人工註入適量胸腔積液，併行經皮微波肝癌消融治療。觀察人工註入胸腔積液的量及其成功率、病竈顯示率、腫瘤完全消融率、相關併髮癥等。結果：人工註入胸腔積液200～1000 mL[（388±107）mL]，成功率為100．0％（28/28）；病竈顯示率85．3％（29/34），另外5箇病竈因其迴聲與肝組織相近常規超聲顯示不清，行超聲造影後可清晰顯示。腫瘤完全消融率100％（34/34）；消融術後，1例患者齣現少量腹腔齣血，相關併髮癥髮生率2．9％（1/34）。結論：人工胸腔積液協助經皮微波消融肝髒穹窿部肝癌是一種安全、有效的治療方法，拓寬瞭經皮微波消融的治療範圍，值得臨床進一步推廣應用。
목적：탐토인공흉강적액협조경피미파소융위우간장궁륭부간암적림상개치。방법：28례환자공34개병조，소유병조균인위우간장궁륭부수폐기차당이현시불청。채용초성실시인도하인공주입괄량흉강적액，병행경피미파간암소융치료。관찰인공주입흉강적액적량급기성공솔、병조현시솔、종류완전소융솔、상관병발증등。결과：인공주입흉강적액200～1000 mL[（388±107）mL]，성공솔위100．0％（28/28）；병조현시솔85．3％（29/34），령외5개병조인기회성여간조직상근상규초성현시불청，행초성조영후가청석현시。종류완전소융솔100％（34/34）；소융술후，1례환자출현소량복강출혈，상관병발증발생솔2．9％（1/34）。결론：인공흉강적액협조경피미파소융간장궁륭부간암시일충안전、유효적치료방법，탁관료경피미파소융적치료범위，치득림상진일보추엄응용。
Objective To evaluate the clinical value of artificial pleural effusion for percutaneous microwave ablation of liver cancer in the hepatic dome. Methods 28 difficult cases (total 34 lesions), all lesions were located in the hepatic dome and covered by lung. Infused with artificial pleural effusion by ultrasound real-time monitoring before percutaneous ultrasound-guided microwave ablation. The amount of artificial pleural effusion, the technique successful rate,the rate of lesions revealed, local treatment response and complications had been observed. Results The amount of artificial pleural effusionwas 200-1 000 mL [(388 ± 107)mL]. The technique successul rate of artificial pleural effusion was 100% (28 / 28), the rate of lesions revealed was 85.3%(29 / 34), the other 5 isoechoic lesions were revealed by contrast-enhanced ultrasound. All the 34 lesions was ablated completely, the complete ablation rate was 100%(34 / 34). the rate of complications was 2.9%(1 / 34), 1 patient was found a small amount of intraperitoneal hemorrhage after ablation. Conclusions Artificial pleural effusion assisted percutaneous microwave ablation of liver cancer in the hepatic dome is a safe , effective treatment, it broadened the percutaneous microwave ablation therapeutic range, and should be more widely used in clinically.
