首页|CT引导下肝脏Ⅸ段肿瘤微波消融的严重并发症及防治策略

CT引导下肝脏Ⅸ段肿瘤微波消融的严重并发症及防治策略

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目的 总结CT引导下肝脏Ⅸ段肿瘤微波消融的严重并发症发生情况,为疾病的防治提供策略.方法 对我院肝胆胰外科2013年10月至2023年7月104例CT引导下经皮肝穿刺微波消融肝脏Ⅸ段肿瘤患者的围消融期严重并发症及死亡情况进行回顾性统计分析.结果 全组手术成功率为100%;术后患者并发大量胸腔积液、液气胸、腹腔内出血、肝脓肿、消融针折断、迟发性胆道损伤及肿瘤-十二指肠内瘘各1例,无围消融期死亡病例;围消融期严重并发症发生率为6.7%、死亡率为0%.结论 CT引导下经皮肝穿刺Ⅸ段肿瘤微波消融的围消融期严重并发症发生率较低,消融手术安全可行.
Serious Complications of CT-guided Microwave Ablation for Hepatic Segment Ⅸ Tumors and Treatment Strategies
Objective To summarize the serious complications of CT-guided microwave ablation of Ⅸ tumors in the liver and related prevention and treatment strategies.Methods A retrospective statistical analysis was conducted on 104 severe complications in patients with hepatic Segment Ⅸ tumors who underwent CT-guided percutaneous microwave ablation in the Department of Hepatobi-liary and Pancreatic Surgery of our hospital from October 2013 to July 2023.Results The surgical success rate of the whole group was 100%.Postoperative complications were massive pleural effusion and liquid pneumothorax in 1 case,abdominal hemorrhage in 1 case,liver abscess in 1 case,ablation needle rupture in 1 case,delayed biliary tract injury in 1 case,and tumor-duodenal fistula in 1 case.The incidence of serious complications was 6.7%,and no deathoccurred during periablation.Conclusion CT-guided percutaneous microwave ablation for tumors in hepatic segment Ⅸ was associated with a low incidence of serious complications,indicating that the procedure was both safe and feasible.

Liver tumorMicrowave ablationHealComplication

李浩权、叶振伟、王在国、张伟标、黄妙玲、蒋经柱、陈韵壕、邱浩

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南方医科大学第十附属医院·广东省东莞市人民医院肝胆胰外科(东莞 523000)

南方医科大学第十附属医院·广东省东莞市人民医院核医学科(东莞 523000)

肝脏肿瘤 微波消融 治疗 并发症

2025

西南医科大学学报
泸州医学院

西南医科大学学报

影响因子:0.407
ISSN:2096-3351
年,卷(期):2025.48(1)