Department of Radiology, University of Colorado School of Medicine, Mail Stop L954, 12401 E. 17th Ave., P.O. Box 6510, Aurora, CO 80045, USA.
J Vasc Interv Radiol. 2012 Jul;23(7):971-5. doi: 10.1016/j.jvir.2012.03.010.
The presented cases detail percutaneous radiofrequency (RF) ablation of multiple giant hepatic hemangiomas in two patients who presented with right upper-quadrant pain and fullness and chose not to undergo surgical resection. Treatment of two hemangiomas per patient, 7 cm and 6 cm in one and 9 cm and 2 cm in the other, was accomplished in single ablation sessions with 12 and nine cycles, respectively. Patients had durable resolution of symptoms with reduction of lesion size by 68%-82% at a mean follow-up of 13 months. These cases, along with promising results in the current literature, support RF ablation as a safe and effective surgical alternative.
所呈现的病例详细描述了两名右上腹疼痛和饱胀的患者接受经皮射频 (RF) 消融治疗多个巨大肝血管瘤，他们选择不进行手术切除。对每位患者的两个血管瘤进行治疗，一个血管瘤为 7 厘米和 6 厘米，另一个为 9 厘米和 2 厘米，分别进行了 12 次和 9 次消融周期，单次消融治疗即可完成。在平均 13 个月的随访中，患者的症状得到了持久缓解，病变大小缩小了 68%-82%。这些病例以及当前文献中的良好结果支持 RF 消融作为一种安全有效的手术替代方法。
