Shibata Toyomichi, Shibata Toshiya, Maetani Yoji, Kubo Takeshi, Itoh Kyo, Togashi Kaori, Hiraoka Masahiro
Department of Diagnostic Imaging and Radiology, Kyoto University Graduate School of Medicine, 54-Kawahara-cho, Shogoin, Sakyoku, Kyoto 606 to 8507, Japan.
J Vasc Interv Radiol. 2004 Nov;15(11):1323-7. doi: 10.1097/01.RVI.0000132297.97113.C4.
Computed tomography (CT)-guided transthoracic radiofrequency ablation was performed for nine liver tumors of eight patients, which were located in the hepatic dome and undetectable by ultrasound (US). A total 11 sessions of ablation were performed. Complications were noted in five sessions (45%) and no complications were noted in six sessions (55%). Pneumothorax was noted in five sessions (45%), including two sessions (18%) with major pneumothorax requiring a chest tube. Major complications were seen in two sessions (18%), major pneumothorax and both major pneumothorax and moderate pleural effusion, respectively. CT-guided transthoracic radiofrequency ablation may be an alternative for treatments of liver tumor in the hepatic dome.
对8例患者的9个肝肿瘤进行了计算机断层扫描（CT）引导下的经胸射频消融术，这些肿瘤位于肝穹窿部，超声（US）无法检测到。总共进行了11次消融治疗。5次治疗（45%）出现并发症，6次治疗（55%）未出现并发症。5次治疗（45%）出现气胸，其中2次治疗（18%）出现需要放置胸管的大量气胸。2次治疗（18%）出现严重并发症，分别为大量气胸以及大量气胸合并中度胸腔积液。CT引导下的经胸射频消融术可能是治疗肝穹窿部肝肿瘤的一种替代方法。
