解放军医学院学报
解放軍醫學院學報
해방군의학원학보
Academic Journal of Chinese Pla Medical School
2015年
9期
883-885
,共3页
肝癌%超声介入%热消融%并发症
肝癌%超聲介入%熱消融%併髮癥
간암%초성개입%열소융%병발증
liver cancer%interventional ultrasound%thermal ablation%complication
目的 对246例超声引导下经皮穿刺微波消融治疗肝癌并发症进行分析,为预见性护理提供依据.方法 选取2011年9月- 2012年8月于我科行微波消融治疗的原发性及转移性肝癌患者246例,应用自行设计的微波消融治疗肝癌并发症观察表进行记录、分析.结果 本组246例共实施微波消融治疗382次,术后主要并发症为疼痛(78.46%)、发热(60.98%)、高血压(58.54%)、肝功能受损(36.18%)、高血糖(19.92%)、低钾血症(9.76%).其中疼痛以轻-中度为主(96.89%);发热以中度热为主(62.67%),持续1 ~ 2 d(93.33%).严重并发症包括出血2例(0.81%)、肝脓肿1例(0.41%).术后高血压、高血糖与伴随疾病密切相关(P<0.01).结论 超声引导下经皮穿刺微波消融治疗肝癌并发症多为一过性、可逆性,部分并发症与伴随疾病密切相关.
目的 對246例超聲引導下經皮穿刺微波消融治療肝癌併髮癥進行分析,為預見性護理提供依據.方法 選取2011年9月- 2012年8月于我科行微波消融治療的原髮性及轉移性肝癌患者246例,應用自行設計的微波消融治療肝癌併髮癥觀察錶進行記錄、分析.結果 本組246例共實施微波消融治療382次,術後主要併髮癥為疼痛(78.46%)、髮熱(60.98%)、高血壓(58.54%)、肝功能受損(36.18%)、高血糖(19.92%)、低鉀血癥(9.76%).其中疼痛以輕-中度為主(96.89%);髮熱以中度熱為主(62.67%),持續1 ~ 2 d(93.33%).嚴重併髮癥包括齣血2例(0.81%)、肝膿腫1例(0.41%).術後高血壓、高血糖與伴隨疾病密切相關(P<0.01).結論 超聲引導下經皮穿刺微波消融治療肝癌併髮癥多為一過性、可逆性,部分併髮癥與伴隨疾病密切相關.
목적 대246례초성인도하경피천자미파소융치료간암병발증진행분석,위예견성호리제공의거.방법 선취2011년9월- 2012년8월우아과행미파소융치료적원발성급전이성간암환자246례,응용자행설계적미파소융치료간암병발증관찰표진행기록、분석.결과 본조246례공실시미파소융치료382차,술후주요병발증위동통(78.46%)、발열(60.98%)、고혈압(58.54%)、간공능수손(36.18%)、고혈당(19.92%)、저갑혈증(9.76%).기중동통이경-중도위주(96.89%);발열이중도열위주(62.67%),지속1 ~ 2 d(93.33%).엄중병발증포괄출혈2례(0.81%)、간농종1례(0.41%).술후고혈압、고혈당여반수질병밀절상관(P<0.01).결론 초성인도하경피천자미파소융치료간암병발증다위일과성、가역성,부분병발증여반수질병밀절상관.
Objective To analyze the complications of 246 liver cancer patients treated with ultrasound-guided percutaneous microwave ablation and supply basis for prophetic nursing care.Methods Clinical data about 246 patients with primary or metastatic liver cancer hospitalized in our department from September 2011 to August 2012 were analyzed. The complications observation form designed by ourselves of microwave ablationtreatment for liver cancer were recorded and analyzed.Results All patients were treated with microwave ablation for 382 times. The main complications were pain (78.46%), fever (60.98%), hypertension (58.54%), damage of liver function (36.18%), hyperglycaemia (19.92%) and hypokalemia (9.76%), in which mild to moderate pain accounting for 96.89%. The fever was mainly moderate (62.67%), which lasted for1-2 days (93.33%). The severe complications were haemorrhage in 2 patients (0.81%) and hepatapostema in 1 patient (0.41%). The hypertension and hyperglycaemia after treatment were related with the accompanied disease (P<0.01).ConclusionThe complications of ultrasound-guided percutaneous microwave ablation for liver cancer are mostly temporary and reversible, part of which are closely related with the accompanied diseases.
