Evaluation of efficacy and prognosis of radiofrequency ablation for the treatment of hepatic hemangiomas

ZHENG Jun; et al

doi:10.13406/j.cnki.cyxb.2010.06.041

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Evaluation of efficacy and prognosis of radiofrequency ablation for the treatment of hepatic hemangiomas

更新时间：2024-01-17

- Evaluation of efficacy and prognosis of radiofrequency ablation for the treatment of hepatic hemangiomas
- Journal of Chongqing Medical University Vol. 35, Issue 6, Pages: 942-944(2010)
- 作者机构：
  
  重庆医科大学附属第一医院肝胆外科
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2010.06.041
  CLC： R735.7
- Published：2010，
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[1]郑军,肖文波,王济明,李茂萍.射频消融治疗肝血管瘤的疗效及预后分析[J].重庆医科大学学报,2010,35(06):942-944.

ZHENG Jun, et al. Evaluation of efficacy and prognosis of radiofrequency ablation for the treatment of hepatic hemangiomas. [J]. Journal of Chongqing Medical University 35(6):942-944(2010)
[1]郑军,肖文波,王济明,李茂萍.射频消融治疗肝血管瘤的疗效及预后分析[J].重庆医科大学学报,2010,35(06):942-944. DOI： 10.13406/j.cnki.cyxb.2010.06.041.

ZHENG Jun, et al. Evaluation of efficacy and prognosis of radiofrequency ablation for the treatment of hepatic hemangiomas. [J]. Journal of Chongqing Medical University 35(6):942-944(2010) DOI： 10.13406/j.cnki.cyxb.2010.06.041.

摘要

目的:评价射频消融（Radiofrequency ablation

RFA）治疗肝脏血管瘤（Hepatic hemangiomas）的有效性和预后。方法:应用绵阳立德LDSF-120S射频仪和7电极射频针在超声引导下施行RFA治疗肝血管瘤16例20个病灶直径3.0～10.0cm

其中直径>3.5cm者予以分层多点或多次叠合消融。局部麻醉

配合全身镇痛处理。结果:16例均成功实施RFA。反应期2～5d

包括局部疼痛不适、发热、ALT升高等

无胆漏、出血等并发症。16例随访1～3年

平均1年8个月

经1次治疗完全缓解（CR）15例

部分缓解（PR）l例

缓解率（CR+PR）100%;血管瘤直径平均缩小62.0%（50.1%～84.7%）。结论:在掌握好适应证和操作技巧的前提下

RFA可发挥微创、安全、有效之优势

可作为治疗肝血管瘤的一种理想选择方法。

Abstract

Objective:To study the efficacy and prognosis of radio-frequency ablation (RFA) for the treatment of hepatic hemangiomas. Methods:Ulthrasound-guided RFA was conducted in 16 patients with hemangiomas(20 lesions

3.0～10.0 cm in diameter)bv using the Li-De generator and the 7- needle electrode. Lesions >3.5cm in diameter were given multiple overlapping ablations that encompassed the entire les- ions.The operation was performed under local anesthesia in association with systemic analgesia. Results:The procedure was successfully accomplished in all the 16 patients. Adverse reactions happened at 2 ～5 postoperative days

including local pain and discomfort

pyrexia

and elevations of ALT levels. No bile leakage or hemorrhage occured.Follow-up observations in 16 patients for 1～3 years (mean

1 years and 8 months)showed a complete response (CR)in 15 patients and a partial response (PR)in l patient by one mission of RFA

the effective rate (CR+PR)being 100%.The hepatic hemangiomas decreased by a mean of 62.0%(range

50.1%～84.7%)in diameter. Conclusion:RFA is a safe and effective therapy for liver hemangiomas in properly selected patients by experienced hands.

关键词

肝血管瘤射频消融肝脏

Keywords

Liver hemangiomaRadiofrequeney ablationliver

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