肝肿瘤CT引导经皮射频消融重要并发症临床分析  

作　　者：宗登伟[1,2] 郭晨阳[1,2] 黎海亮[1,2] 肖金成[1,2] 胡鸿涛[1,2] 程洪涛[1,2] 

机构地区：[1]郑州大学附属肿瘤医院 [2]河南省肿瘤医院放射科,河南457007

出　　处：《当代医学》2013年第27期8-10,共3页Contemporary Medicine

摘　　要：目的分析肝肿瘤CT引导下经皮射频消融重要并发症种类、影像学表现及防治方法。方法本组共分析了326例原发性肝癌和肝转移瘤患者,合计458个病灶,共消融944次,随访时间6~48个月。结果共14例患者出现并发症,包括肝脓肿3例(0.92%),肝包膜出血2例(0.63%),肝功能衰竭2例(0.63%),肾功能衰竭1例(0.32%),阻塞性黄疸1例(0.32%),电极处皮肤烧伤1例(0.32%),气胸1例(0.32%),血胸1例(0.32%),结肠穿孔1例(0.32%),针道种植转移1例。结论 CT引导下经皮射频消融治疗肝肿瘤是治疗肝肿瘤安全方法之一,术前详细评估患者、术后早期发现并发症及应用合适方法治疗会减少并发症发生。Objective To analyze the ma^or complications of hepatic tumors with the treatment of radio-frequency ablation （RFA） and the safety of the CT-guided RFA. Methods Three hundred and twenty-six cases with 458 lesions received the interventional procedure of RFA including hepatocelluar carcinoma 268 cases and liver metastasis 58 cases. Every cases under 1-3 times of RFA consecutively and follow up 6-48 months respectively. Results The major complications included liver abscess （3 cases）, peritoneal hemorrhage （2 cases）, hepatic failure （2 cases）, renal failure （1 case）, obstructive jaundice （1 case）, obstructive j aundice （1 case）, electrode place skin burn （1 case）, pneumothorax （1 cases）, hemothorax （1 case）, colon perforation （1 case）, tumor seeding （1 case）. Conclusion RFA is a relatively low-risk procedure for the treatment of hepatic tumors; the important strategies for decreasing the rate of complications are prevention, early detection, and proper management.

关 键 词：肝脏肿瘤 射频消融 随访 并发症 

分 类 号：R735.7[医药卫生—肿瘤]