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经皮微波消融肝肿瘤的并发症:影像学综述

Complications from percutaneous microwave ablation of liver tumours: a pictorial review.

作者信息

Fang Cheng, Cortis Kelvin, Yusuf Gibran T, Gregory Stephen, Lewis Dylan, Kane Pauline, Peddu Praveen

机构信息

1 Department of Radiology, King's College Hospital , London , England.

2 Medical Imaging Department, Mater Dei Hospital , Valletta , Malta.

出版信息

Br J Radiol. 2019 Jul;92(1099):20180864. doi: 10.1259/bjr.20180864. Epub 2019 May 13.

Abstract

Percutaneous microwave ablation of liver tumours is a well-established technique that has been proven to be effective in the curative and palliative treatment of small volume primary and secondary liver tumours. Microwave ablation is designed to achieve larger areas of necrosis compared to radiofrequency ablation and has a good safety profile among liver tumour treatments. Mortality is unreported and major complications are rare. Knowledge of potential complications is essential for interventional radiologists performing liver ablation in order to reduce patient morbidity. The aim of this review is to illustrate major complications post microwave ablation in a pictorial format as well as a discussion on how best to avoid these complications.

摘要

经皮微波消融肝肿瘤是一种成熟的技术,已被证明在小体积原发性和继发性肝肿瘤的根治性和姑息性治疗中有效。与射频消融相比,微波消融旨在实现更大范围的坏死,并且在肝肿瘤治疗中具有良好的安全性。未报告有死亡率,主要并发症也很罕见。对于进行肝脏消融的介入放射科医生来说,了解潜在并发症对于降低患者发病率至关重要。本综述的目的是以图文并茂的形式阐述微波消融后的主要并发症,并讨论如何最好地避免这些并发症。

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