摘要
目的探讨高频介导热治疗(HITT)在治疗肝脏乏血供肿瘤中的价值。方法67例肝脏乏血供肿瘤,共121个病灶,采用以HITT为主的治疗策略进行综合治疗,包括必要的胆道引流术(24/67)及化学治疗。结果HITT射频消融术后1周行CT复查,114个病灶完全灭活,单次治疗成功率达94.3%(114/121);7个病灶边缘部分残留,经补充治疗后,达到治疗成功。近期随访的患者平均生存期为(12.5±1.3)个月。患者主要不良反应包括局部出血、术后疼痛、肝功能损害及发热等,经积极对症支持治疗均恢复正常。结论HITT在肝脏乏血供肿瘤的治疗中有较高的临床应用价值。
Objective To evaluate the therapeutic effect of CT-guided high frequency-induced thermotherapy(HITT) on insufficienct blood supply tumour in liver. Methods Sixty-seven patients with 121 lesions treated with HITT after percutaneous transhepatic cholangial drainage (PTCD)or endoprosthesis implantation(24/67) and followed by chemotherapy. Results CT scan was repeated 1 week after HITT. The achievement ratio of single therapy was 94.3% ( 114/121 ). The mean survival time in the near future was ( 12.5 ± 1.3) months. The adverse effects included topo-bleeding, pain after procedure, funtional lesions of liver and fervescence. All the patients recovered after symptomatic treatment. Conclusion The clinical application value of CT-guided HITT for insufficienct blood supply tumour in liver is obvious.
出处
《中华生物医学工程杂志》
CAS
2008年第2期142-144,共3页
Chinese Journal of Biomedical Engineering
关键词
肝肿瘤
放射学
介入性
高频介导热治疗
Liver neoplasm
Radiology, interventional
High frequency-induced thermotherapy