| TACE术后超声引导下经皮无水乙醇注射术联合微波消融治疗特殊部位肝癌 |
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| 引用本文： | 王剑宇,徐浩,许伟,王勇,柳昂.TACE术后超声引导下经皮无水乙醇注射术联合微波消融治疗特殊部位肝癌[J].中国介入影像与治疗学,2019,16(4):203-206. |
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| 作者姓名： | 王剑宇 徐浩 许伟 王勇 柳昂 |
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| 作者单位： | 徐州医科大学附属医院介入放射科 |
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| 摘 要： | 目的评价TACE术后超声引导下经皮无水乙醇注射术(PEI)联合微波消融治疗邻近胆囊、膈肌、心脏、胃肠道、肾脏、大血管等重要组织器官(距离≤0.5 cm)的特殊部位早期及中期原发性肝癌的安全性及疗效。方法对40例特殊部位早期及中期原发性肝癌患者于TACE后1周行超声引导下PEI联合微波消融,在肿瘤邻近重要组织器官一侧注入无水乙醇,同时行低功率(40～50 W)、短时间(4～5 min)微波消融;观察不良反应及并发症情况,并随访评价疗效。结果术后未发生严重不良反应及并发症,仅部分患者出现肝区疼痛(17/40,42.50%)、发热(15/40,37.50%)、恶心及呕吐(12/40,30.00%),均经对症治疗后好转;2例术后出现少量胸腔积液,后积液自行吸收。出院后1个月肿瘤完全消融率为97.50%(39/40)。随访至出院后12个月,4例发生肿瘤局部进展。结论超声引导下PEI联合微波消融是治疗特殊部位早期及中期原发性肝癌安全、有效的方法。
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| 关 键 词： | 肝肿瘤 特殊部位 乙醇 超声检查 微波消融 |
| 收稿时间： | 2018/9/1 0:00:00 |
| 修稿时间： | 2019/2/21 0:00:00 |
Ultrasound-guided percutaneous ethanol injection combined with microwave ablation for treating liver cancer in special site after TACE |
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| WANG Jianyu,XU Hao,XU Wei,WANG Yong and LIU Ang.Ultrasound-guided percutaneous ethanol injection combined with microwave ablation for treating liver cancer in special site after TACE[J].Chinese Journal of Interventional Imaging and Therapy,2019,16(4):203-206. |
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| Authors: | WANG Jianyu XU Hao XU Wei WANG Yong and LIU Ang |
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| Institution: | Department of Interventional Radiology, the Affiliated Hospital ofXuzhou Medical University, Xuzhou 221000, China,Department of Interventional Radiology, the Affiliated Hospital ofXuzhou Medical University, Xuzhou 221000, China,Department of Interventional Radiology, the Affiliated Hospital ofXuzhou Medical University, Xuzhou 221000, China,Department of Interventional Radiology, the Affiliated Hospital ofXuzhou Medical University, Xuzhou 221000, China and Department of Interventional Radiology, the Affiliated Hospital ofXuzhou Medical University, Xuzhou 221000, China |
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| Abstract: | |
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| Keywords: | liver neoplasms special sites ethanol ultrasonography microwave ablation |
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