摘要
肝脏良性占位性病变(BOL)是发生于肝脏的具有占位效应的良性病变,部分需要积极治疗。已有文献报道将射频消融(RFA)用于治疗肝血管瘤、肝局灶性结节性增生、肝腺瘤、肝囊肿、肝脓肿和肝包虫病等BOL。RFA治疗肝血管瘤有取代外科切除成为首选治疗方案的趋势;对于复杂、难治的肝囊肿、肝脓肿,如患者不愿手术或难以耐受手术,RFA可作为外科手术的替代选择。RFA在肝局灶性结节性增生、肝腺瘤、肝包虫的治疗中也表现出了安全、微创、疗效确切及可重复操作的优势。本文就RFA治疗BOL的现状及进展做一综述。
Benign occupations of the liver (BOL) are a heterogeneous group of benign hepatic lesions, a minority of which may need active management. It's reported that radiofre- quency ablation (RFA) can be used to treat BOL, such as hepatic haemangioma, focal nodular hyperplasia (FNH) , hepato- cellular adenoma, simple hepatic cyst, liver abscess and hepatic echinococcosis. RFA has exhibited a potentiality to replace re- section as the first-line treatment option for hepatic haemangio- ma. For muhiloculated intractable simple hepatic cyst or liver abscess, when patients are not suitable for or refuse surgical resection, RFA may be an alternative option for the resection; and it also has many advantages over resection, including effectiveness, safety, minimal invasiveness and repeatability in the treatment of FNH, hepatocellular adenoma, and hepatic echinoeoc- eosis. A review will be presented on the current situation and latest progression of RFA therapy for BOL in this article.
作者
杜英瑞
柯山
高君
丁雪梅
王劭宏
孔健
孙文兵
Du Yingrui;Ke Shah;Gao Jun;Ding Xuemei;Wang Shao- hong;Kong Jian;Sun Wenbing.(Department of Hepatobiliary Surgery, Beijing Chao Yang Hospital Affiliated to Capital Medical University, Beifing 100043, China)
出处
《中华肝胆外科杂志》
CAS
CSCD
北大核心
2018年第4期283-286,共4页
Chinese Journal of Hepatobiliary Surgery
基金
国家自然科学基金(81572957
81502650)
北京市石景山区医学重点学科建设项目(20130001)
北京市医管局培育计划项目(PX2017014)
关键词
肝脏良性占位性病变
射频消融
疗效
Benign space occupying lesion of the liver
Radiofrequency ablation
Clinical effect