射频消融距离巨大肝血管瘤首选治疗方案还有多远  

Radiofrequency ablation for huge hepatic hemangiomas:How far from being the firstline treatment

作　　者：高君[1] 孙文兵[1] 

机构地区：[1]首都医科大学附属北京朝阳医院西区肝胆外科,北京市100043

出　　处：《世界华人消化杂志》2016年第7期987-993,共7页World Chinese Journal of Digestology

基　　金：吴阶平医学基金资助项目;Nos.320.6750.07131;320.6750.1207;北京市石景山区医学重点学科建设基金资助项目;No.20130001~~

摘　　要：巨大肝血管瘤(≥10 cm)常有明显的生长倾向,危害性也大,手术切除是其传统治疗手段,但创伤大、并发症多.对于这一良性疾病,临床医生实施手术切除治疗通常承担较大的心理压力,遂努力尝试着使用微创手段作为替代.近年来,射频消融(radiofrequency ablation,RFA)被越来越多地应用于巨大肝血管瘤治疗,显示了疗效确定、微创、安全等优点以及良好的应用前景.巨大肝血管瘤的治疗模式正在从传统的手术切除向以RFA为代表的微创治疗方式转变.本文简述RFA治疗巨大肝血管瘤的现状并展望其前景.Huge hepatic hemangiomas（≥10 cm） are often growthful and harmful.Surgical resection is the traditional treatment for this disease,however,this treatment modality is rather invasive and the operative morbidity and mortality are relatively high.To avoid surgical risk,many minimally invasive procedures have been developed to treat hepatic hemangiomas.In the recent decade,radiofrequency ablation（RFA） has been performed successfully in patients with huge hepatic hemangiomas,showing many advantages over resection,including minimal invasiveness,low complication rate,reduced cost,short hospital stay and increased patient compliance.The treatment strategy for huge hepatic hemangioma is changing from the traditional surgical resection to the minimally invasive treatment with RFA.In the current review,we discuss the present situation and prospect of RFA application in the treatment of huge hepatic hemangiomas.

关 键 词：肝血管瘤 巨大 射频消融 并发症 治疗模式 

分 类 号：R735.7[医药卫生—肿瘤]