中华超声影像学杂志
中華超聲影像學雜誌
중화초성영상학잡지
CHINESE JOURNAL OF ULTRASONOGRAPHY
2013年
6期
500-504
,共5页
丁建民%经翔%王彦冬%王凤梅%王毅军%杜智
丁建民%經翔%王彥鼕%王鳳梅%王毅軍%杜智
정건민%경상%왕언동%왕봉매%왕의군%두지
超声检查%肝肿瘤%导管消融术%微波/治疗应用%并发症
超聲檢查%肝腫瘤%導管消融術%微波/治療應用%併髮癥
초성검사%간종류%도관소융술%미파/치료응용%병발증
Ultrasonography%Liver neoplasms%Catheter ablation%Microwave/therapeutic use%Complications
目的 分析热消融治疗肝癌并发症的原因及防治措施,并比较射频消融(RFA)和微波消融(MWA)两种消融技术的安全性.方法 对879例肝癌患者实施热消融治疗,RFA组323例,MWA组556例,比较两种消融技术治疗肝癌的并发症.结果 879例患者1652个肿瘤共接受1030次热消融治疗.323例562个肿瘤接受376次RFA;556例1090个肿瘤接受654次MWA.RFA组和MWA组死亡、严重并发症、轻微并发症发生率分别为0.31％ (1/323)、3.5％ (13/376)、5.9％ (22/376)和0.36％ (2/556)、3.1％ (20/654)、5.7％ (37/654).两组比较差异无统计学意义(P＞0.05).结论 热消融治疗肝癌是安全的,死亡和严重并发症发生率较低,而且MWA与RFA具有相同的安全性.
目的 分析熱消融治療肝癌併髮癥的原因及防治措施,併比較射頻消融(RFA)和微波消融(MWA)兩種消融技術的安全性.方法 對879例肝癌患者實施熱消融治療,RFA組323例,MWA組556例,比較兩種消融技術治療肝癌的併髮癥.結果 879例患者1652箇腫瘤共接受1030次熱消融治療.323例562箇腫瘤接受376次RFA;556例1090箇腫瘤接受654次MWA.RFA組和MWA組死亡、嚴重併髮癥、輕微併髮癥髮生率分彆為0.31％ (1/323)、3.5％ (13/376)、5.9％ (22/376)和0.36％ (2/556)、3.1％ (20/654)、5.7％ (37/654).兩組比較差異無統計學意義(P＞0.05).結論 熱消融治療肝癌是安全的,死亡和嚴重併髮癥髮生率較低,而且MWA與RFA具有相同的安全性.
목적 분석열소융치료간암병발증적원인급방치조시,병비교사빈소융(RFA)화미파소융(MWA)량충소융기술적안전성.방법 대879례간암환자실시열소융치료,RFA조323례,MWA조556례,비교량충소융기술치료간암적병발증.결과 879례환자1652개종류공접수1030차열소융치료.323례562개종류접수376차RFA;556례1090개종류접수654차MWA.RFA조화MWA조사망、엄중병발증、경미병발증발생솔분별위0.31％ (1/323)、3.5％ (13/376)、5.9％ (22/376)화0.36％ (2/556)、3.1％ (20/654)、5.7％ (37/654).량조비교차이무통계학의의(P＞0.05).결론 열소융치료간암시안전적,사망화엄중병발증발생솔교저,이차MWA여RFA구유상동적안전성.
Objective To investigate the common complications of thermal ablations of liver cancer using both radiofrequency ablation (RFA) and microwave ablation (MWA) techniques,and compare the safety between these two procedures.Methods A total of 879 patients with hepatic tumors underwent thermal ablation.There were 323 cases having the RFA procedures and 556 cases having MWA procedures.The complications of thermal ablations of liver cancer were compared using both RFA and MWA techniques.Results A total of 1030 thermal ablation sessions was performed in 879 patients with a total of 1652 tumors.There were 323 patients with 562 tumors received a total of 376 RFA.The other 556 patients with 1090 tumors received a total of 654 MWA.The mortality rates were 0.31 ％ (1/323) and 0.36％ (2/556) in RFA and MWA group.In RFA and MWA group,the major complication rates were 3.5％ (13/376)and 3.1％ (20/654),meanwhile the minor complication rates were 5.9％ (22/376) and 5.7％ (37/654).There was no statistical significant difference for the mortality rates,the major complications,the minor complications between the RFA and MWA groups (P ＞0.05).Conclusions Thermal ablation therapy in the treatment of liver cancers is relatively safe with low mortality and low incidence of serious complications.The types and incidences of complications caused by RFA and MWA are similar and comparable for safety consideration in clinical settings.
