摘要
目的:探讨超声引导下多电极射频疗法对胃肠道肿瘤肝转移癌的治疗效果。方法:在超声引导下,对18例胃肠道肿瘤所致继发性肝癌患者行术中、术后超声引导多电极射频治疗,观察治疗前后肿瘤声像图表现、大小及生存情况。结果:超声引导多电极射频治疗后,肿瘤区由术前等或低回声转变成强弱不等点状回声。17例肿瘤体积缩小30%以上,总有效率94.4%。并发症主要为肝区疼痛和发热(100%)、肝功能异常(77.7%)、应激性溃疡(11.1%)、右胸腔积液(11.1%)及漏胆(5.5%)。全部获得随访,无手术近期死亡。2例术后2个月内分别死于全身转移及肺转移,其余病例均存活超过6个月,最长1例迄今已达4年仍健在。结论:超声引导下多电极射频治疗是胃肠道肿瘤肝转移癌的有效方法。
Objective：To explore the effect of multi-electrode radio frequency thermal ablation under the guidance of ultrasonography on the hepatic metastasis under gastroenteric tumor. Methods： 18 cases of the secondary hepatic carcinoma under gastroenteric tumor were undergone multi-electrode radio frequency thermal ablation under the guidance of ultrasonography. The imaging and size of tumor, and survival conditions were observed before and after the ablation.Resnits：Tumor areas were turned into spotty uneven echo from equal,hypor imaging in pretreatment after the multi-electrode radio frequency thermal ablation.The tumor size in 17cases decreased more than 30% ,the effective rate of therapy was 94.4%.The main complication were the hepatic zones pain and fever （100%）, hepatic function abnormity（77.7%）, stress ulcer（11.1%）, pleura1 effussion（11.1%） and biliary fistula（5.5%）.All of the patients were followed up,have none death in recent operation,2 cases have died of general metastasis and pulmonary metastasis in 2 months after operation,the other surviving more than 6 months, the longest is 4 years.Conelution：Multi-electrede radio frequency therrmal ablation under the guidance of ultrasonography is a effective way for the treatment of the hepatic metastasis under gastroenteric tumor.
出处
《现代医药卫生》
2008年第18期2699-2701,共3页
Journal of Modern Medicine & Health
基金
四川省科技攻关项目(04SG022-021)子课题
关键词
超声检查
射频治疗
转移癌
胃肠道肿瘤
Ultasonography
Radio frequency thermal ablation
Carcinoma metastaticum
Gastroenteric tumor
