CT引导肝脏特殊位置恶性肿瘤的局部消融治疗  

CT-guided percutaneous ablations for liver malignant tumors on special sites

作　　者：王增林[1] 吴建满[1] 赵修一[1] 杨厚林[1] 陈良生[1] 

机构地区：[1]福建省立医院放射科,福州350001

出　　处：《中国实用医药》2013年第32期22-24,共3页China Practical Medicine

摘　　要：目的 评价在CT引导下经皮肝穿刺局部消融治疗肝脏特殊位置恶性肿瘤的临床应用价值.方法 36例肝脏恶性肿瘤患者,共有45枚肿瘤,所有患者肿瘤数目≤3个,直径≤3 cm,分别位于心脏大血管旁、近膈面、肝门部、肝包膜下、胆囊旁以及结肠旁等肝内特殊部位.使用方法包括微波、射频及无水酒精消融术,根据情况选择单一或联合应用治疗方法,随访12～84个月,观察并发症和疗效.结果 所有患者45枚肿瘤,其中8枚进行了微波治疗,20枚进行了射频治疗,10枚进行无水酒精局部注射治疗,7枚进行了射频联合无水酒精局部注射治疗.未出现任何严重并发症.45枚肿瘤均完全坏死.结论 本组研究结果表明,肝脏特殊位置恶性肿瘤数目≤3个,直径≤3 cm,根据情况选择方案进行CT引导局部消融治疗是一种安全、可行、有效的治疗方法.Objective To investigate the clinical values of CT-guided percutaneous ablations in patients with liver malignant tumors on special sites. Methods 45 lesions in 36 patients were studied, all patients with less than or equal to 3 lesions, and which were less than or equal to 3cm in diameter, and located on special sites of subcapsular, near heart or the great vessels, near hilar, near gallbladder, near adjacent colon and beneath diaphragm. All lesions were treated by microwaves ablation, radiofrequency ablation, ethanol ablation or combined ablations respectively. Then, patients were followed-up to study the complications and effectiveness arranged from 12 to 84 months. Results 8 lesions were treated by microwave ablation, 20 lesions were treated by radiofrequency ablation, lO lesions were treated by ethanol ablation,7 lesions were treated by radiofrequency combined ethanol ablations. All lesions were necrosis completely, and no sever complications were occurred in followed-up studies. Conclusion CT-guided percutaneous ablations is a feasible, safe, effective adjuvant therapeutic method for patients with liver malignant tumors on special sites.

关 键 词：肝脏恶性肿瘤 局部消融治疗 CT引导 

分 类 号：R735.7[医药卫生—肿瘤]