局限性人工腹水在临近胃肠管肝肿瘤消融中的应用

Clinical application of local artificial ascites in microwave ablation of liver tumor adjacent to gastrointestinal tracts

目的探讨CT引导下局限性人工腹水辅助在经皮微波消融治疗临近肠管肝肿瘤的有效性和安全性。方法我院2015年至2019年中对48例临近肠管肝肿瘤病灶行CT引导下人工腹水辅助下微波消融术。对局限性人工腹水技术成功率、微波消融局部复发率、手术并发症等进行评估。结果48例患者中47例成功行局限性人工腹水,28例患者之前有外科手术史,1例因局部粘连未能成功行局限人工腹水。47例患者均成功行微波消融术,1例术后腹腔少量出血,术后1月复查均完全消融。结论局限性人工腹水辅助微波消融治疗临近胃肠道肝肿瘤病灶是一种安全、有效的治疗方法。

Objective To investigate the efficacy and safety of CT guided local artificial ascites assisted percutaneous microwave ablation in the treatment of liver tumors adjacent to the intestinal tract.Methods From 2015 to 2019 in our hospital,48 cases of liver tumor adjacent to intestinal tract were treated by CT guided artificial ascites assisted microwave ablation.The success rate of local artificial ascites,local recurrence rate of microwave ablation and complications of operation were evaluated.Results Among the 48 patients,47 patients were succeeded in local artificial ascites,28 patients had a history of surgery before,and 1 patient failed because of local adhesion.47 patients were successfully treated with microwave ablation,1 patient suffered from a small amount of bleeding in abdominal cavity,and all of them were completely ablated one month after operation.Conclusions Local artificial ascites assisted with microwave ablation is a safe and effective treatment for liver tumor near gastrointestinal tract.