超声引导下冷循环微波刀治疗肾上腺转移瘤

目的 评价超声引导下冷循环微波刀治疗肾上腺转移瘤的临床效果及安全性.方法 选取肾上腺转移瘤患者共23例,病灶总数24个,其中病灶直径≤2.0cm者3个,2.1～3.9 cm者17个,4.0～5.9 cm者3个,≥6.0cm者1个,经冷循环微波刀治疗1个月后行螺旋CT双期增强扫描评价肿瘤治疗效果.结果 经冷循环微波刀治疗后肿瘤直径≤2.0、2.1～3.9、4.0～5.9、≥6.0cm的病灶达到完全坏死者分别为3、17、1、0个,不完全坏死者分别为0、0、2、0个,部分坏死者分别为0、0、0、1个.治疗中15例患者消融区域有不同程度疼痛感,3例患者出现血压升高,4例患者术后出现Ⅰ～Ⅱ度皮肤烧伤,经对症治疗后均缓解或痊愈.结论 冷循环微波刀治疗肾上腺转移瘤安全可靠,不良反应小,是治疗肾上腺转移瘤的有效方法之一.

The treatment of cold-circulated microwave scapel on adrenal gland metastatic tumor under ultrasound scanning

Objective To evaluate the clinical effect and security of cold-circulated microwave scapel on adrenal gland metastatic tumor. Methods Twenty-four focuses in 23 patients were treated,including 3 focuses diameter ≤2.0 cm, 17 focuses diameter 2.1 - 3.9 cm, 3 focuses diameter 4.0 - 5.9 cm,1 focus diameter ≥ 6.0 cm, the effects were evaluated by spiral CT scanning 1 month after treatment. Results The number of total necrosis focuses diameter ≤2.0,2.1 -3.9,4.0 -5.9, ≥6.0 cm after treatment were respectively 3, 17, 1, 0. In addition, not fully necrosis were 0, 0, 2, 0 and partial necrosis were 0, 0, 0,1. Fifteen cases after ablation treatment marked varying degrees of pain in the region, 3 cases of high blood pressure patients,4 cases occurred with Ⅰ - Ⅱ degree skin bums. The above cases were easing after symptomatic treatment. Conclusion The treatment of cold-circulated microwave scapel is secure,it is one of an effective method to adrenal gland metastatic tumor,with little adverse reaction.