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射频消融联合动脉栓塞治疗肝脏巨大血管瘤的疗效分析(英文)
引用本文:高珲,何显力,鲁建国,乔庆,吴涛,曹伟,徐根强,包国强.射频消融联合动脉栓塞治疗肝脏巨大血管瘤的疗效分析(英文)[J].现代肿瘤医学,2011,19(11):2276-2280.
作者姓名:高珲  何显力  鲁建国  乔庆  吴涛  曹伟  徐根强  包国强
作者单位:1. 韩城市人民医院普通外科,陕西,韩城,715400
2. 第四军医大学唐都医院普通外科,陕西,西安,710038
3. 第四军医大学唐都医院介入科,陕西,西安,710038
摘    要:目的:对射频消融(RFA)联合动脉栓塞(TAE)治疗巨大肝血管瘤的疗效进行回顾性分析。方法:对2004年至2008年应用RFA联合TAE模式治疗的27例巨大肝血管瘤患者进行回顾性分析,共纳入31个瘤体,直径6cm-18.5cm。所有患者首先给予TAE治疗(一次或多次),在包块明显缩小后,进而给予RFA治疗。随访时间为12-64月(最后一次RFA治疗后,中位时间38个月)。所有患者均根据增强CT结果评价疗效。结果:本组患者无严重并发症以及死亡发生。RFA治疗3个月后,21例患者的症状减轻或消失(77.8%)。并且第一次增强CT示瘤体明显缩小,其中完全坏死率为71.0%(22/31)。对于9个提示血流存在的病灶,再次行RFA治疗。至随访结束,10/31(32.3%)已回缩瘤体显示增强信号,其中5个瘤体直径增大。结论:TAE+RFA是治疗巨大肝血管瘤的一种安全有效的模式。

关 键 词:巨大肝血管瘤  射频消融(RFA)  动脉栓塞(TAE)

Radiofrequency ablation(RFA) combined with transcatheter arterial embolization(TAE) for the micro-invasive treatment of giant hepatic hemangiomas
GAO Hui,HE Xianli,LU Jianguo,QIAO Qing,WU Tao,CAO Wei,XU Genqiang,BAO Guoqiang.Radiofrequency ablation(RFA) combined with transcatheter arterial embolization(TAE) for the micro-invasive treatment of giant hepatic hemangiomas[J].Journal of Modern Oncology,2011,19(11):2276-2280.
Authors:GAO Hui  HE Xianli  LU Jianguo  QIAO Qing  WU Tao  CAO Wei  XU Genqiang  BAO Guoqiang
Institution:GAO Hui1,HE Xianli2,LU Jianguo2,QIAO Qing2,WU Tao2,CAO Wei3,XU Genqiang1,BAO Guoqiang2 1Department of General Surgery,The People's Hospital of Hancheng,Shaanxi Hancheng 715400,China,2Department of General Surgery,Tangdu Hospital,Shaanxi Xi'an 710038,3Department of Interventional Radiology
Abstract:Objective:To study the effective of RFA combined with TAE for the treatment of giant hepatic hemangiomas retrospectively.Methods: To retrospectively analyze the data of 27 patients with 31 giant hepatic hemangiomas(6cm-18.5cm in diameter) treated with combined modality from 2004 to 2008.All patients were initially treated by TAE(once or more).After the tumors showed significantly shrinking,the tumors were given subsequent RFA.The periods of follow-up were from 12 months to 64 months after last RFA(median,38...
Keywords:giant hepatic hemangiomas  radiofrequency ablation(RFA)  transcatheter arterial embolization(TAE)
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