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1
Radiofrequency ablation of a central renal tumor: protection of the collecting system with a retrograde cold dextrose pyeloperfusion technique.肾中央肿瘤的射频消融：采用逆行冷葡萄糖肾盂灌注技术保护集合系统
J Vasc Interv Radiol. 2005 Nov;16(11):1551-5. doi: 10.1097/01.RVI.0000175322.05225.0a.
2
Radiofrequency ablation of metastatic mediastinal lymph nodes during cooling and temperature monitoring of the tracheal mucosa to prevent thermal tracheal damage: initial experience.在气管黏膜冷却及温度监测期间对纵隔转移淋巴结进行射频消融以预防气管热损伤：初步经验
Radiology. 2005 Dec;237(3):1068-74. doi: 10.1148/radiol.2373050234. Epub 2005 Oct 19.
3
Retrograde renal cooling during radio frequency ablation to protect from renal collecting system injury.射频消融期间逆行肾脏降温以预防肾集合系统损伤。
J Urol. 2005 Jul;174(1):350-2. doi: 10.1097/01.ju.0000161596.71457.1b.
4
Percutaneous radiofrequency ablation of renal tumors: technique, complications, and outcomes.经皮肾肿瘤射频消融术：技术、并发症及疗效
J Vasc Interv Radiol. 2005 May;16(5):679-88. doi: 10.1097/01.RVI.0000153589.10908.5F.
5
Concepts, considerations, and concerns on the cutting edge of radiofrequency ablation.
J Vasc Interv Radiol. 2005 May;16(5):597-613. doi: 10.1097/01.RVI.0000156097.63027.7B.
6
Effects of perfusion on radiofrequency ablation in swine kidneys.灌注对猪肾射频消融的影响。
Radiology. 2004 May;231(2):500-5. doi: 10.1148/radiol.2312021248.
7
Radiofrequency ablation of renal transitional cell carcinoma with protective cold saline infusion.
J Vasc Interv Radiol. 2003 Apr;14(4):489-92. doi: 10.1097/01.rvi.0000064852.87207.0b.
8
Intraductal cooling of the main bile ducts during intraoperative radiofrequency ablation.术中射频消融期间主胆管的导管内冷却
J Surg Oncol. 2001 Apr;76(4):297-300. doi: 10.1002/jso.1049.
9
Radio frequency ablation of renal cell carcinoma via image guided needle electrodes.经图像引导针电极对肾细胞癌进行射频消融
J Urol. 1999 Feb;161(2):599-600.
10
Increased incidence of serendipitously discovered renal cell carcinoma.偶然发现的肾细胞癌发病率增加。
Urology. 1998 Feb;51(2):203-5. doi: 10.1016/s0090-4295(97)00506-2.

肾中央肿瘤射频消融术中肾盂冷盐水灌注：一例报告

Cold saline irrigation of the renal pelvis during Radiofrequency Ablation of a central renal neoplasm: a case report.

作者信息

Morales Jose P, Sabharwal Tarun, Georganas Marios, Dourado Renato, Cahill Declan, Adam Andreas

机构信息

Department of Interventional Radiology, Guy's and St Thomas' Foundation Hospital NHS Trust, London, UK.

出版信息

J Med Case Rep. 2008 Feb 7;2:40. doi: 10.1186/1752-1947-2-40.

DOI:10.1186/1752-1947-2-40
PMID:18257916
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2259369/
Abstract

INTRODUCTION

Thermal destruction mediated by radiofrequency ablation (RFA) is gaining attention as an alternative treatment for patients with renal cell carcinoma (RCC), particularly in those who are not candidates for open surgery. Treatment of central tumours is occasionally associated with complications such as ureteric stricture, injury to the psoas muscle, haematuria and vascular laceration.

CASE PRESENTATION

We have used infusion of cold saline during RFA, through a retrograde ureteric catheter with its tip in the renal pelvis, in a patient with a central renal tumour.

CONCLUSION

We believe this process to have successfully avoided the risk of thermal injury.

摘要

引言

射频消融（RFA）介导的热破坏作为肾细胞癌（RCC）患者的一种替代治疗方法正受到关注，尤其是对于那些不适合开放手术的患者。治疗中央型肿瘤偶尔会伴有诸如输尿管狭窄、腰大肌损伤、血尿和血管撕裂等并发症。

病例报告

我们在一名患有中央型肾肿瘤的患者中，通过逆行输尿管导管将其尖端置于肾盂内，在射频消融期间输注冷盐水。

结论

我们认为这一过程成功避免了热损伤风险。