切换至 "中华医学电子期刊资源库"

中华介入放射学电子杂志 ›› 2020, Vol. 08 ›› Issue (02) : 141 -144. doi: 10.3877/cma.j.issn.2095-5782.2020.02.008

所属专题: 文献

肿瘤介入

局限性人工腹水在临近胃肠管肝肿瘤消融中的应用
李勇1, 郭坚溪1, 孔健1, 沈新颖1,(), 张彦舫1,()   
  1. 1. 518020 广东深圳,深圳市人民医院介入科、暨南大学第二临床医学院、南方科技大学第一附属医院
  • 收稿日期:2020-02-21 出版日期:2020-05-25
  • 通信作者: 沈新颖, 张彦舫
  • 基金资助:
    广东省医学科学技术研究基金项目(B2018131)

Clinical application of local artificial ascites in microwave ablation of liver tumor adjacent to gastrointestinal tracts

Yong Li1, Jianxi Guo1, Jian Kong1, Xinying Shen1,(), Yanfang Zhang1,()   

  1. 1. Department of Interventional Radiology, Shenzhen People's Hospital, the Second Clinical Medical College of Jinan University, the First Affiliated Hospital of South University of Science and Technology, Guangdong Shenzhen 518020, China
  • Received:2020-02-21 Published:2020-05-25
  • Corresponding author: Xinying Shen, Yanfang Zhang
  • About author:
    Corresponding authors: Shen Xinying, Email: ;
    Zhang Yanfang, Email:
引用本文:

李勇, 郭坚溪, 孔健, 沈新颖, 张彦舫. 局限性人工腹水在临近胃肠管肝肿瘤消融中的应用[J]. 中华介入放射学电子杂志, 2020, 08(02): 141-144.

Yong Li, Jianxi Guo, Jian Kong, Xinying Shen, Yanfang Zhang. Clinical application of local artificial ascites in microwave ablation of liver tumor adjacent to gastrointestinal tracts[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2020, 08(02): 141-144.

目的

探讨CT引导下局限性人工腹水辅助在经皮微波消融治疗临近肠管肝肿瘤的有效性和安全性。

方法

我院2015年至2019年中对48例临近肠管肝肿瘤病灶行CT引导下人工腹水辅助下微波消融术。对局限性人工腹水技术成功率、微波消融局部复发率、手术并发症等进行评估。

结果

48例患者中47例成功行局限性人工腹水,28例患者之前有外科手术史,1例因局部粘连未能成功行局限人工腹水。47例患者均成功行微波消融术,1例术后腹腔少量出血,术后1月复查均完全消融。

结论

局限性人工腹水辅助微波消融治疗临近胃肠道肝肿瘤病灶是一种安全、有效的治疗方法。

Objective

To investigate the efficacy and safety of CT guided local artificial ascites assisted percutaneous microwave ablation in the treatment of liver tumors adjacent to the intestinal tract.

Methods

From 2015 to 2019 in our hospital, 48 cases of liver tumor adjacent to intestinal tract were treated by CT guided artificial ascites assisted microwave ablation. The success rate of local artificial ascites, local recurrence rate of microwave ablation and complications of operation were evaluated.

Results

Among the 48 patients, 47 patients were succeeded in local artificial ascites, 28 patients had a history of surgery before, and 1 patient failed because of local adhesion. 47 patients were successfully treated with microwave ablation, 1 patient suffered from a small amount of bleeding in abdominal cavity, and all of them were completely ablated one month after operation.

Conclusions

Local artificial ascites assisted with microwave ablation isa safe and effective treatment for liver tumor near gastrointestinal tract.

图1 患者,男,51岁。1A:S3段小肝癌;1B:行介入治疗注入碘化油标记,肿瘤与胃窦贴近;1C:21 G细针穿刺入肝胃间隙,注入生理盐水,造成人工腹水;1D:注入400 ml生理盐水后,局限性人工腹水效果满意;1E:微波针穿刺病灶开始消融;1F:术后1个月,复查CT,肿瘤消融完全,效果满意。
[1]
Kamal A, Elmoety AA, Rostom Y, et al. Percutaneous radiofrequency versus microwave ablation for management of hepatocellular carcinoma: a randomized controlled trial[J].Gastrointest Oncol, 2019, 10(3): 562-571.
[2]
Poggi G, Tosoratin N, Montagna B, et al. Microwave ablation of hepato-cellularcarcinoma[J]. World Journal of Hepatology, 2015, 7(25): 88-89.
[3]
Francica G, Maloni, MF, Dasiol, et al. Radiofrequency and microwave ablation of subcapsular hepatocellular carcinoma accessed by direct puncture: safety and efficacy[J]. Eurpean Journal of Radiology, 2016, 85(4): 739-743.
[4]
Hsieh YC, Limquiaco JL, Lin CC, et al. Radiofrequency ablation following artificial ascites and pleural effusion creation may improve outcomes for hepatocellular carcinoma in high-risk locations[J]. Abdom Radiol (NY), 2019, 44(3): 1141-1151.
[5]
Hayashida K, Ooi J, Makiyama K, et al. Percutaneous ethanol injection therapy for hepatocellular carcinoma in hepatic dome directly under right diaphragm-the trial of artificial ascites method[J]. Nihon Shokakibyo Gakkai Zasshi, 1995, 92(10):1752-1758.
[6]
Nishimura M, Nouso K, Kariyama K, et al. Safety and efficacy of radiofrequency ablation with artificial ascites for hepatocellular carcinoma[J]. Acta Med Okayama, 2012, 66(3): 279-284.
[7]
乔强,李海莹,吴佳恒,等.人工腹水下射频消融和微波消融治疗毗邻重要器官的肝癌[J].中国微创外科杂志,2016, 16(8): 724-727.
[8]
李凯,王平,郑荣琴,等.超声引导下人工腹水辅助肝癌微波消融治疗研究[J].中华医学超声杂志(电子版),2010, 7(10): 1685-1690.
[9]
Asvadi NH, Anvari A, Uppot RN, et al. CT-guided percutaneous microwave ablation of tumors in the hepatic dome: assessment of efficacy and safety[J]. J Vasc Interv Radiol, 2016, 27(4): 496-502.
[10]
Wang CC, Kao JH. Artificial ascites is feasible and effective for difficult-to-ablate hepatocellular carcinoma[J]. Hepatol Int, 2015, 9(4): 514-519.
[11]
黄倩楠,许尔蛟,曾庆劲,等.人工腹水辅助热消融有腹腔手术史患者邻近胃肠道肝肿瘤的应用价值[J].中华超声影像学杂志,2016, 25(1): 36-39.
[12]
张明军,李季,陈振东,等.人工注射局部水囊技术辅助超声引导射频消融治疗高危部位肝肿瘤的临床研究[J].肝胆外科杂志,2013, 21(6): 418-420.
[13]
周进学,展翔宇,李庆军,等.人工腹水辅助超声引导邻近胃肠道肝脏肿瘤射频消融术[J].中华肝胆外科杂志,2018, 24(1): 9-12.
[14]
Hakime A, Tselikasl L, Otmezguine Y, et al. Artificial ascites for pain relief during microwave ablation of subcapsular liver tumors[J]. Cardiovasc Intervent Radiol, 2015, 38(6): 1557-1562.
[15]
Zhang M, Liang P, Cheng ZG, et al. Efficacy and safety of artificial ascites in assisting percutaneous microwave ablation of hepatic tumors adjacent to the gastrointestinal tract[J]. Int J Hyperth, 2014, 30(2): 134-141.
[16]
Liu SR, Liang P, Yu XL, et al. Percutaneous microwave ablation for liver tumours adjacent to the marginal angle[J]. Int J Hyperthermia, 2014, 30(5): 306-311.
[17]
Jin T, Liu X, Dai C, et al. Beneficial impact of microwave ablation assisted laparoscopic hepatectomy in cirrhotic hepatocellular carcinoma patients: a propensity score matching analysis[J]. Int J Hyperthermia, 2019, 36(1): 530-537.
[18]
Lao OB, Farjah F, Flum DR, et al. Adverse events after radiofrequency ablation of unresectable liver tumors: a single center experience[J]. Am J Surg, 2009, 198(1): 76-82.
[1] 韩丹, 王婷, 肖欢, 朱丽容, 陈镜宇, 唐毅. 超声造影与增强CT对儿童肝脏良恶性病变诊断价值的对比分析[J]. 中华医学超声杂志(电子版), 2023, 20(09): 939-944.
[2] 李建美, 邓静娟, 杨倩. 两种术式联合治疗肝癌合并肝硬化门静脉高压的安全性及随访评价[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 41-44.
[3] 陈忠垚, 陈胜灯, 李秋. 不同手术时机对原发性肝癌自发破裂出血患者远期预后的影响[J]. 中华普外科手术学杂志(电子版), 2023, 17(05): 518-521.
[4] 孟令展, 朱震宇. 达芬奇机器人辅助肝中叶切除术[J]. 中华普外科手术学杂志(电子版), 2023, 17(04): 373-373.
[5] 任茂玲, 孙晓容, 何晓丽. CT引导下微波消融术在肺部结节治疗中的应用及术后并发症的危险因素分析[J]. 中华肺部疾病杂志(电子版), 2023, 16(05): 718-720.
[6] 唐灿, 李向阳, 秦浩然, 李婧, 王天云, 柯阳, 朱红. 原发性肝脏神经内分泌肿瘤单中心12例诊治与疗效分析[J]. 中华肝脏外科手术学电子杂志, 2023, 12(06): 674-680.
[7] 崔佳琪, 吴迪, 陈海艳, 周惠敏, 顾元龙, 周光文, 杨军. TACE术后并发肝脓肿的临床诊治分析[J]. 中华肝脏外科手术学电子杂志, 2023, 12(06): 688-693.
[8] 杜锡林, 谭凯, 贺小军, 白亮亮, 赵瑶瑶. 肝细胞癌转化治疗方式[J]. 中华肝脏外科手术学电子杂志, 2023, 12(06): 597-601.
[9] 韩冰, 顾劲扬. 深度学习神经网络在肝癌诊疗中的研究及应用前景[J]. 中华肝脏外科手术学电子杂志, 2023, 12(05): 480-485.
[10] 何传超, 肖治宇. 晚期肝癌综合治疗模式与策略[J]. 中华肝脏外科手术学电子杂志, 2023, 12(05): 486-489.
[11] 王楚风, 蒋安. 原发性肝癌的分子诊断[J]. 中华肝脏外科手术学电子杂志, 2023, 12(05): 499-503.
[12] 顾娇娇, 邹燕, 陈奕辰, 黄师菊, 张慧玲, 林楠. 基于简易营养评价精法评估肝癌患者出院后营养状况及其影响因素[J]. 中华肝脏外科手术学电子杂志, 2023, 12(05): 534-539.
[13] 孟令展, 李虎, 俞鹏, 于燕宾, 曹李, 翟伟, 高远, 邵艳玲, 严锦, 朱震宇. ICG荧光染色在肝癌腹腔镜解剖性肝切除术中的应用[J]. 中华肝脏外科手术学电子杂志, 2023, 12(05): 557-561.
[14] 赫嵘, 贾哲, 张珂, 李代京, 张萌, 蒋力. 基于PSM分析腹腔镜肝切除联合Hassab术治疗合并门静脉高压症肝癌疗效[J]. 中华肝脏外科手术学电子杂志, 2023, 12(04): 376-383.
[15] 萨仁高娃, 张英霞, 邓伟, 闫诺, 樊宁. 超声引导下鼠肝消融术后组织病理特征的变化规律及影响[J]. 中华消化病与影像杂志(电子版), 2023, 13(06): 394-398.
阅读次数
全文


摘要