2009, Vol. 20 Issue (5): 342-344    DOI:
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肝脏肿瘤经皮射频消融术后发生肿瘤针道转移的危险性分析
毛晓楠,卢再鸣,郭启勇,刘兆玉,温 锋,梁宏元
中国医科大学附属盛京医院放射科,辽宁 沈阳 110004
The risk of needle tract tumor seeding after RFA of the liver tumor
MAO Xiao-nan, LU Zai-ming, GUO Qi-yong, LIU Zhao-yu, WEN Feng, LIANG Hong-yuan
Department of Radiology, Shengjing Hospital of China Medical University, Shenyang 110004, China
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摘要 目的:回顾分析117例行经皮射频消融术(RFA)治疗的肝脏肿瘤患者,评价RFA治疗肝脏肿瘤后发生肿瘤针道转移的概率,并探讨某些危险因素与肿瘤针道转移之间的关系。材料与方法:2005年4月~2008年3月行RFA治疗的肝脏肿瘤患者共117例,评价其术后随访的CT资料,计数肿瘤针道转移病例,计算发生概率,评价相关的危险因素。结果:随访发现肿瘤针道转移5例,占所有患者的4.3%(5/117),占所有行RFA治疗病灶的3.9%(5/128)。5例针道转移均发生在RFA后半年以内。结论:RFA治疗后发生肿瘤针道转移的概率很低。术后不进行射频针道的电凝处理及位于肝包膜下的肿瘤是发生肿瘤针道转移的危险因素。RFA术后半年内须密切复查注意肿瘤针道转移的发生。
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毛晓楠
卢再鸣
郭启勇
刘兆玉
温锋
梁宏元
关键词 肿瘤转移肝肿瘤导管消融术    
AbstractObjective: Needle tract tumor seeding was one of the complications after RFA, the risk was not consistent as reported. The present study analysis of a retrospective data base of 117 patients with malignant liver tumor who had undergone RFA, with the aim to determine the incidence and the risk factors associated with tumor seeding after RFA. Materials and Methods: A retrospective data base of 117 patients with liver tumor who had undergone RFA in Shengjing Hospital from April 2005 to March 2008 was reviewed to identify the patients with needle tract tumor seeding. The rate of tumor seeding after RFA was determined and some of the risk factors were evaluated. Results: The tumor seeding was identified in 5 out of 117(4.3%) patients based on CT image findings, which corresponded to a rate of 5 of 128(3.9%) per treated lesion. All the patients with tumor seeding were identified within 6 months after RFA. Conclusion: RFA was an effective therepy for liver tumors with a low risk of needle tract tumor seeding. The risk factors associated with tumor seeding included no electrocoagulation of the electrode tract and subcapsular tumor location. A close follow up and recheck was necessary within half a year after RFA.
Key wordsNeoplasms metastasis    Liver neoplasms    Catheter ablation
收稿日期: 2008-09-26     
:  R735.7  
  R814.47  
通讯作者: 郭启勇   
引用本文:   
毛晓楠;卢再鸣;郭启勇;刘兆玉;温 锋;梁宏元. 肝脏肿瘤经皮射频消融术后发生肿瘤针道转移的危险性分析[J]. , 2009, 20(5): 342-344.
MAO Xiao-nan;LU Zai-ming;GUO Qi-yong;LIU Zhao-yu;WEN Feng;LIANG Hong-yuan. The risk of needle tract tumor seeding after RFA of the liver tumor. , 2009, 20(5): 342-344.
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