集束电极射频消融治疗肝癌术后并发症的原因分析及其防治  

The causes and prevention of complications of radio frequency ablation treatment of primary and secondary liver cancers

作　　者：马庆久[1] 王青[1] 鲁建国[1] 高德明[1] 赵柏山[1] 卞玲[1] 

机构地区：[1]第四军医大学唐都医院普通外科,西安710038

出　　处：《中华外科杂志》2003年第11期805-808,共4页Chinese Journal of Surgery

摘　　要：目的　总结 1780例次肝癌射频消融治疗并发症的发生原因及其防治对策。　方法对 735例原发性、继发性肝癌患者进行 1780例次经皮肝穿射频消融治疗 ,通过临床观察 ,分析肝癌射频消融治疗后并发症发生的原因并总结预防处理措施。　结果　 1780例次肝癌射频消融治疗共发生 11种并发症。最常见的为术后发热、出汗及肝区治疗部位疼痛 ;严重并发症为空腔脏器穿孔、腹腔内出血及心血管意外 ,共计 4例 ,其中 3例死亡。　结论　射频消融治疗中晚期肝癌是新开展的而疗效确切的治疗方法。认真选择适应证 ,规范术前准备和手术操作及合理的术后处理是避免并发症发生的关键。Objective To sum up causes and the prevention of complications after using the radio frequency ablation (RFA) to treat of primary and secondary liver cancers. Methods The clinical courses of 735 patients, undergoing percutaneous RFA treatment for a total of 1 780 times were reviewed. The causes of the complications occurring after the RFA treatment, and their prevention and treatment were evaluated. Results Eleven complications after RFA treatment were found. Postoperative fever, sweating, and local pain were common. Serious complications, such as gut perforation, intraabdominal hemorrhage, and cardiovascular accident were found in 4 patients, and the mortality was 75%. Conclusions The RFA treatment is an effective method for the treatment of primary and secondary liver tumor. Careful selection of patients, appropriate preoperative preparations, proper operative procedures, and suitable postoperative care are the key points in preventing the complications.

关 键 词：集束电极 射频消融 治疗 肝癌 术后 并发症 原因分析 防治 

分 类 号：R735.7[医药卫生—肿瘤]