Abstract:Objective: To explore the clinical value of using the CT screen drawing line method to guide the microwave ablation of percutaneous liver tumor. Methods: Thirty-nine cases of liver cancer patients(54 lesions, the average maximum diameter (2.6±1.3) cm) were enrolled. CT guided percutaneous microwave ablation was performed by CT screen drawing line plan. Real-time CT check after ablation was performed to observe and check whether the actual needle was corresponding to the plans. The success of screen wire guided puncture was evaluated. The complication and the recent therapy effect were analyzed. Results: The microwave ablation was successfully completed on the 54 lesions. Scattered small bubbles were seen in all lesions, in the 38 lesions with no iodine oil deposition, carbonized ablation railway lines were shown, which were consistent with plans. The completely melt rate was 94.4%(51/54), and partial residual rate was 5.6%(3/54). No severe tissue damage was found in surrounding important organs. Conclusion: It is worth promoting the use of screen drawing line to guide ablation needle puncture, which can ensure the complete ablation and ablation safety.
郑玉劲,吴庆德,何旭霞,欧建宏. 利用CT屏幕画线计划和引导经皮肝肿瘤微波消融穿刺[J]. 中国临床医学影像杂志, 2019, 30(2): 118-121.
ZHENG Yu-jin, WU Qing-de, HE Xu-xia, OU Jian-hong. Using the CT screen drawing line to plan and guide the percutaneous liver tumor. JOURNAL OF CHINA MEDICAL IMAGING, 2019, 30(2): 118-121.