人工胸水辅助超声引导射频治疗肝脏膈顶部肿瘤概要.PDFVIP

人工胸水辅助超声引导射频治疗肝脏膈顶部肿瘤 廖旺军 崔斐 李爱民 石敏 陈锦章 (南方医科大学南方医院肿瘤科 广州 510515) 摘要：目的 超声引导射频消融是治疗肝脏肿瘤的有效方法，但超声对肝脏膈顶部病灶难以 清晰完整地显示，限制了这一方法的使用，人工胸水有可能解决这一问题；我们对 11 例肝脏 膈顶部肿瘤患者进行人工胸水辅助超声引导射频消融治疗，观察其安全性及消融效果。方法 向每个病人胸膜腔内注入生理盐水 500~1000ml，并对 11 例病人的 15 个病灶在超声引导下进 行经皮射频消融治疗。结果 制造人工胸水后，全部 15 个病灶均可被超声清晰显示，对所有 的病灶均进行了经皮射频消融治疗，其中 13 个病灶（86.7%）完全坏死，未出现严重并发症。 结论 人工胸水辅助超声引导射频消融是治疗肝脏膈顶部肿瘤安全有效的手段。 关键词：人工胸水 射频消融 超声引导 Percutaneous ultrasound-guided radiofrequency ablation with artificial pleural effusion for cancer of the liver located under the diaphragm Liao wangjun, Cui fei, Li aimin, Shi min , Chen jinzhang Department of Oncology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China [Abstract] OBJECTIVE: Ultrasound-guided radiofrequency ablation （RFA ）is one of the most effective treatments for cancer of the liver. However, ultrasound-guided procedures are sometimes of limited use because the tumor is located under the diaphragm. sonographic examination with artificial pleural effusion can improved the visualization of liver cancer under the diaphragm. We investigated the safety and efficacy of RFA with artificial pleural effusion. METHODS: Fifteen lesions in 11 patients were treated using radiofrequency ablation with artificial pleural effusion, for which 500~1000ml normal saline was injected into the pleural cavity. RESULTS: Artificial pleural effusion allowed us to visualize the whole tumor for all of 15 lesions that were otherwise not detectable or poorly visible. All of the lesions were treated with percutaneous PFA and complete necrosis was obtained in 13 (86.7%) of the 15 lesions. No severe complication was observed. CONCLUSION: Radiofrequency ablation with artificial pleural effusi