摘要
目的探讨射频消融治疗肝脏良性肿瘤的疗效和应用价值。方法在超声引导下经皮穿刺射频消融治疗肝脏良性肿瘤共63例,其中肝海绵状血管瘤56例,炎性假瘤6例,脂肪瘤1例;共76个病灶,平均直径3.67(1.3～8.4)cm。结果63例患者均一次性顺利完成治疗。术后皮肤浅Ⅱ度烧伤2例,余无其它并发症。随访57例,平均随访时间为31(1～45)个月,增强CT/MRI或超声造影复查肿瘤完全消失34例(59.6%),缩小>50%13例(22.8%),缩小<50%7例(12.3%),缩小后再复发3例(5.3%)。结论对于中小肝脏良性肿瘤,RFA治疗具有微创、安全、简便、可靠等特点。
Objective To evaluate the efficacy and application value of radiofrequency ablation （RFA） for benign hepatic tumor. Methods A total of 63 patients of hepatic benign tumor, including 56 cases of hepatic cavernous hemangioma, 6 cases of inflammatory pseudotumor and 1 case of lipoma with total 76 focuses （diameter ranging 1.3 to 8.4 cm with a mean of 3.67 cm） , underwent radiofrequency ablation percutaneously guided by B-ultrasound. Results Sixty-three patients completed the therapy successfully once, 2 cases occurred skin burn of Ⅱ degree, and no cases developed any complications. Fifty-seven out of 67 patients were followed up for mean 31 months. Enhanced CT/MRI scan or ultrasonic graphy showed that the focuses disappeared in 34 cases （59.6%） , reduced more than 50% in volume in 13 cases （22.8%） , reduced less than 50% in volume in 7 cases （ 12.3% ） , reduced and then relaplsed in 3 cases （5.3%）. Conclusion RFA therapy was a minimally invasive, simple, safe and effective approach for benign hepatic tumor of small or middle focuses.
出处
《第三军医大学学报》
CAS
CSCD
北大核心
2005年第20期2077-2079,共3页
Journal of Third Military Medical University
关键词
射频消融
肝脏良性肿瘤
疗效
benign hepatic tumor
radiofrequency ablation
curative effect
