肝脏穹窿部病变微波消融术后并发膈下脓肿及膈肌损伤
Diaphragmatic Injury with Empyema Development after Microwave Ablation of a Liver Dome Lesion.
作者信息
Jing Ran, Merritt Travis, Gemmete Joseph J
机构信息
Integrated IR/DR Residency, Michigan Medicine, Ann Arbor, Michigan.
Departments of Radiology, Neurosurgery, Neurology, and Otolaryngology, Michigan Medicine, Ann Arbor, Michigan.
出版信息
Semin Intervent Radiol. 2023 Jul 20;40(3):258-261. doi: 10.1055/s-0043-1769774. eCollection 2023 Jun.
Abstract
Percutaneous microwave ablation (MWA) of the liver is a minimally invasive procedure that utilizes high frequency electromagnetic waves to generate heat and induce tumor necrosis. MWA has been proven to be a safe and effective treatment option for primary and metastatic liver tumors. The treatment of liver dome lesions can present a technical challenge due to the proximity of the hepatic dome to the diaphragm and lung parenchyma. In this report, we present a case of diaphragmatic injury and subsequent empyema following MWA of a liver dome lesion.
摘要
经皮肝微波消融术（MWA）是一种微创手术，利用高频电磁波产生热量并诱导肿瘤坏死。MWA已被证明是治疗原发性和转移性肝肿瘤的一种安全有效的选择。由于肝顶部靠近膈肌和肺实质，肝顶部病变的治疗可能面临技术挑战。在本报告中，我们介绍了一例肝顶部病变微波消融术后发生膈肌损伤及随后并发脓胸的病例。
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本文引用的文献
1
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Oncologist. 2019 Oct;24(10):e990-e1005. doi: 10.1634/theoncologist.2018-0337. Epub 2019 Jun 19.
2
Complications from percutaneous microwave ablation of liver tumours: a pictorial review.经皮微波消融肝肿瘤的并发症：影像学综述
Br J Radiol. 2019 Jul;92(1099):20180864. doi: 10.1259/bjr.20180864. Epub 2019 May 13.
3
Percutaneous thermal ablation of hepatocellular carcinomas located in the hepatic dome using artificial carbon dioxide pneumothorax: retrospective evaluation of safety and efficacy.经皮热消融治疗穹窿部肝癌应用人工二氧化碳气胸：安全性和有效性的回顾性评估。
Int J Hyperthermia. 2018 Dec;35(1):90-96. doi: 10.1080/02656736.2018.1477206. Epub 2018 Jun 20.
4
Imaging guided percutaneous interventions in hepatic dome lesions: Tips and tricks.肝脏穹窿部病变的影像引导经皮介入治疗：技巧与窍门
World J Hepatol. 2017 Jul 8;9(19):840-849. doi: 10.4254/wjh.v9.i19.840.
5
Unintended thermal injuries from radiofrequency ablation: organ protection with an angioplasty balloon catheter in an animal model.射频消融导致的意外热损伤：在动物模型中使用血管成形术球囊导管进行器官保护
J Clin Imaging Sci. 2014 Jan 30;4:1. doi: 10.4103/2156-7514.126018. eCollection 2014.
6
Tumor ablation: common modalities and general practices.肿瘤消融：常见方式与一般实践
Tech Vasc Interv Radiol. 2013 Dec;16(4):192-200. doi: 10.1053/j.tvir.2013.08.002.
7
Mortality and complication rates of percutaneous ablative techniques for the treatment of liver tumors: a systematic review.经皮消融技术治疗肝脏肿瘤的死亡率和并发症发生率：系统评价。
Eur Radiol. 2011 Dec;21(12):2584-96. doi: 10.1007/s00330-011-2222-3. Epub 2011 Aug 20.
8
Moxifloxacin prophylaxis for chemoembolization or embolization in patients with previous biliary interventions: a pilot study.既往胆道介入治疗患者行化疗栓塞或栓塞治疗时莫西沙星预防感染：一项初步研究。
AJR Am J Roentgenol. 2011 Aug;197(2):W343-5. doi: 10.2214/AJR.10.6019.
9
Percutaneous thermal ablation: how to protect the surrounding organs.经皮热消融：如何保护周围器官。
Tech Vasc Interv Radiol. 2011 Sep;14(3):170-6. doi: 10.1053/j.tvir.2011.02.009.
10
Malignant liver tumors: treatment with percutaneous microwave ablation--complications among cohort of 1136 patients.恶性肝肿瘤：经皮微波消融治疗——1136例患者队列中的并发症
Radiology. 2009 Jun;251(3):933-40. doi: 10.1148/radiol.2513081740. Epub 2009 Mar 20.
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