射频消融治疗腹膜后和盆腔恶性肿瘤  

Radiofrequency Ablation for Retroperitoneal and Pelvic Malignancies

作　　者：郑家平[1] 俞炎平[1] 邵国良[1] 张家兴[2] 童乾纲[2] 汝复明[2] 奚顺法[2] 

机构地区：[1]浙江省肿瘤医院,浙江杭州310022 [2]同济大学附属第十人民医院,上海200072

出　　处：《肿瘤学杂志》2005年第4期277-279,共3页Journal of Chinese Oncology

摘　　要：[目的]探讨射频消融治疗腹膜后和盆腔恶性肿瘤的疗效和安全性。[方法]腹膜后和盆腔恶性肿瘤患者9例,均为单发病灶。其中原发性肾上腺梭形细胞瘤术后复发1例,软骨肉瘤术后腹膜后转移2例,肺癌、恶性胸腺瘤术后1例,胰腺癌腹膜后转移1例,直肠癌和子宫颈癌术后盆腔转移各1例。CT引导下进行射频消融术。[结果]腹膜后和盆腔肿块射频消融术共19次,平均2.1次。9例患者临床症状不同程度减轻或消失,临床缓解率100%。增强CT复查完全热凝固坏死4例,不完全坏死3例,部分坏死2例。患者术中较好地耐受治疗,术后未发生严重并发症。[结论]射频消融治疗腹膜后和盆腔恶性肿瘤安全,对直径小于6cm的肿瘤疗效确切。[Purpose] To evaluate the efficacy and safety of CT guided radiofrequency ablation （RFA） for treatment of unresectable or recurrent retroperitoneal and pelvic malignancy. [Methods] RFA was performed on 9 patients with unresectable or recurrent retroperitoneal or pelvic malignancies from adrenal （n=1）, chondrosarcomas （n=2）, lung carcinoma （n=1）, thymus malignant tumor （n=1）, pancreatic carcinoma （n=1）, rectal carcinoma （n=1） and cervix carcinoma （n=1）. Under CT guidance, 9 patients were performed RFA by percutaneous approach. [Results] RFA was performed 19 times （mean, 2.1 ）. Symptoms in all 9 cases were relieved in certain degree after RFA procedure. The complete hyperthermic coagulation, incomplete hyperthermic coagulation, and partial hyperthermic coagulation occurred in 4, 3, 2 cases, respectively. RFA was successfully completed in all operations without intraoperative complications. There was no severe postoperative complication. [Conclusions] Under CT guidance, RFA treatment for unresectable or recurrent retroperitoneal or pelvic malignancies from different origins is safe, and treatment for tumor less than 6cm diameter can make complete coagulation.

关 键 词：腹壁后肿瘤 盆腔肿瘤 高温 诱发 治疗结果 

分 类 号：R735.4[医药卫生—肿瘤]