摘要
目的观察与分析经皮射频消融治疗老年肝脏恶性肿瘤的近期疗效和并发症。方法 2009年11月至2010年11月,采用B超引导经皮射频消融治疗老年肝脏恶性肿瘤患者32例。结果 32例均在术后12～20小时即可开始下床活动、进食。技术成功率96.88%(31/32)。技术有效率100%(31/31),术后1个月肝脏增强CT/MRI检查示肿瘤完全凝固坏死。术后常见并发症:发热14例(43.75%),术后疼痛10例(31.25%),心律失常3例(9.38%),皮肤灼伤1例(3.13%),术后平均住院时间4天。结论 B超引导下经皮射频消融治疗老年肝脏恶性肿瘤具有简单、微创、安全、有效、并发症少等优点,严格把握适应证可以获得较好的疗效。
Objective To summarize the efficacy of radiofrequency ablation in treatment of elderly patients with ma- lignant liver tumors. Method From November 2009 to November 2010, 32 elderly malignant liver tumor patients were treated with ultrasound-guided radiofrequency ablation, under local and intravenous anesthesia. Results All the patients were up to do some activities and eat 12 to 24 hours after operation. In this study, the Technical Success Rate is 96.88% （31/32）, the Technical Effective Rate is 100% （31/31）, which means 1 month after the operation CT/MRI proves complete coagulation necrosis of the tumor. The incidences of the adverse responses are as follows, fever 43.75% （14/32） , postoperative pain 31.25% （10/32） , arrhythmia was found in 3 patients, 1 patient was skin burned. No other severe adverse responses happened. The average time of hospitalization is 4 days. Conclusions Treatment of malignant liver tumors of the elderly with radiofrequency ablation is safe and effective, and with indications strictly controlled it would be beneficial.
出处
《中国医刊》
CAS
2011年第6期31-33,共3页
Chinese Journal of Medicine
关键词
肝癌
老年人
射频消融
疗效
并发症
Hepatic Carcinoma
the Elderly
Radio-frequency Ablation
Effect
Complication
