目的 探讨人工液胸在辅助超声引导经皮微波消融治疗近膈顶肝癌的临床应用价值。方法 回顾性研究2011-01至2013-12行人工液胸操作辅助超声引导微波消融治疗肝癌的患者115例临床资料,年龄35～82岁,对人工液胸操作的可行性、有效性和安全性指标进行评估。结果 人工液胸操作成功率97.4%(112/115),滴注的生理盐水量为500～1500 ml,平均(962.9±219.4)ml。操作成功的112例患者中110例完成了肝癌的超声引导微波消融治疗,操作有效率98.2%。本组病例术中和术后未出现与人工液胸操作有关的严重并发症,轻微并发症包括疼痛、咳嗽等。结论 人工液胸技术具有良好的可行性,可以安全有效地用于辅助超声引导经皮微波消融治疗近膈顶肝癌,扩大了适应证范围。
Abstract
Objective To evaluate the clinical applicability of artificial pleural effusion to ultrasound-guided percutaneous microwave ablation for liver cancers in the hepatic dome.Methods The clinical data of 115 patients with liver cancers in the hepatic dome collected between January 2011 and December 2013 were retrospectively analyzed, whose hepatic tumors were treated with percutaneous microwave ablation under ultrasound guidance assisted by artificial pleural effusion. The parameters related to feasibility, efficacy and safety of the procedure were assessed.Results Artificial pleural effusion was dripped into the thoracic cavity in 112 out of the 115 patients and the success rate of the procedure was 97.4%. The effective rate of the procedure was 98.2%, as ultrasound-guided liver tumor ablation was completed in 110 out of the 112 patients into whom artificial pleural effusion had been dripped into. The volume of instilled saline ranged from 500 to 1500 ml (the mean volume 962.9±219.4 ml). No major complications related to artificial pleural effusion occurred during the peri-ablation and minor complications included pain and cough.Conclusions Artificial pleural effusion can be a feasible, effective and safe procedure that can help extend the range of indications in assisting microwave ablation treatment for liver cancers in the hepatic dome under ultrasound guidance.
关键词
人工液胸 /
超声引导 /
微波消融 /
肝癌
Key words
artificial pleural effusion /
ultrasound guidance /
microwave ablation /
liver neoplasms
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参考文献
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基金
国家科技支撑计划课题(2013BAI01B00)
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