腹腔镜联合RITA射频消融治疗特殊部位肝海绵状血管瘤  

Laparoscopic combined with RITA radiofrequency ablation for hepatic cavemous hemangiomas of special site

作　　者：王平[1] 周立艳[1] 黄镇[1] 周英豪[1] 张宏文[1] 李成林[1] 崔彦[1] 

机构地区：[1]中国人民解放军第306医院普通外科,北京100101

出　　处：《中国现代普通外科进展》2015年第1期30-33,共4页Chinese Journal of Current Advances in General Surgery

摘　　要：目的 ：探讨腹腔镜下射频消融（LRFA）治疗肝海绵状血管瘤（HCH）的可行性及治疗效果。方法 ：对13例共22个特殊部位HCH采用LRFA治疗,完全裸露于肝膈面7例,边缘部11例,脏面4例,分别邻近胆囊、结肠、胃等空腔脏器。瘤体直径2-9 cm。射频消融治疗仪为美国Angi Dynamics公司生产的RITA射频消融治疗系统1500X型射频发生器,电极分为长短2种,针芯具有实时测温和注水灌注功能。结果：全部病例在腹腔镜引导下完成射频消融治疗,单次射频消融时间5-12 min,手术时间50-130 min,术中出血50-100 m L,无术后出血、胆瘘、腹膜炎、膈肌损伤等并发症。用接触式固化和递进式消融,可顺利完成裸露于肝表面的HCH的射频消融。术后病理学检查发现13例均为HCH。结论：腹腔镜联合RITA射频消融治疗特殊部位的肝海绵状血管瘤,安全可行,治疗效果肯定,弥补了经皮肝穿刺射频治疗技术的不足,扩大了射频消融治疗的适应证,避免和减少了并发症的发生,对一些特殊部位的肝血管瘤的治疗具有明显的优越性。Objective： To study the security and practicality of laparoscopic radiofrequency ablation（LRFA） for hepatic cavemous hemangiomas（HCH） in special site. Methods： 13 case HCH in special site undergoing LRFA were reviewed retrospectively.RITA 1500 X RFA therapy of Angi Dynamics corporation was used. Results： Laparoscopic radiofrequency ablation was done went in all patients. Single time was 5-12 min, operation time 50-130 min,bleeding 50-200 m L.Neither residual lesion nor postoperative complication was observed. Conclusions： Laparoscopic combined with RFA therapy is a feasible,safe,and effective treatment modality for HCH in special site. It offer more accurate target for RFA and reducing RFA-related complications.

关 键 词：腹腔镜检查 射频消融 肝肿瘤 海绵状血管瘤 

分 类 号：R735.7[医药卫生—肿瘤]