CT-Pinpoint定位系统导引下氩氦刀治疗体部肿瘤  

CT-pinpoint location system-guided argon-helium cryosurgery treatment of body tumors

作　　者：胡佳寿[1] 田洪梓[1] 孙金凤[2] 王迪[1] 王东[2] 

机构地区：[1]中国人民解放军第107医院影像中心,山东烟台264002 [2]中国人民解放军全军肿瘤无创诊疗中心,山东烟台264002

出　　处：《中国介入影像与治疗学》2014年第2期65-68,共4页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的探讨CT—Pinpoint定位系统导引下氩氦刀治疗体部肿瘤的可行性、安全性及疗效评价。方法47例经病理证实的体部肿瘤（58处病灶）在CT—Pinpoint定位系统导引下经皮行氩氦刀冷冻消融治疗，术后计算冰球覆盖率。结果36．2l％（21／58）、48．28％（28／58）、15．520（9／58）的病灶冰球覆盖率分别为〉90．0％、80．1％～90．0％、≤80．0％；所有病灶穿刺准确率为100％，首次进针准确率为96．300（130／135）；并发症发生率14．89％（7／47）：其中气胸3例，肺出血2例，尿失禁1例，皮肤冻伤1例。结论CT—Pinpoint定位系统引导下氩氦刀冷冻消融体部肿瘤安全有效，具有较高临床应用价值。Objective To investigate the feasibility, safety and efficacy of CT-pinpoint location system-guided argon-helium cryosurgery system （AHCS） in treatment of body tumors. Methods Totally 47 patients with 58 pathologically con- firmed body tumors were treated with CT-Pinpoint location system-guided ACHS cryoablation, and the ice hockey coverage ratios were calculated. Results Hockey coverage rate was larger than 90.0% in 21 lesions （21/58, 36.21%）, 80. 1%-- 90.0% in 28 lesions （28/58, 48.28%）, less than 80.0% in 9 lesions （9/58, 15.52%/00）. The puncture accuracy was 100 %, and the first time needle puncture accuracy was 96.30 % （130/135）. Complications included pneumothorax in 3 patients, pulmonary hemorrhage in 2, urinary incontinence in 1, and skin frostbite in 1 patient, and the complication rate was 14.89% （7/47）. Conclusion CT-Pinpoint location system-guided AHCS ablation for body tumor is safe and effective, having good clinical value.

关 键 词：氩氦刀 冷冻外科手术 体层摄影术 x线计算机 介入治疗 肿瘤 

分 类 号：R730.5[医药卫生—肿瘤]