【作者】 郑爱民； 叶欣； 杨霞； 黄广慧； 倪翔； 李文红； 王娇；

【Author】 ZHENG Ai-ming,YE Xin,YANG Xia,HUANG Guang-hui,NI Xiang,LI Wen-hong,WANG Jiao Department of Oncology,Provincial Hospital Affiliated to Shandong University,Jinan,Shandong Province,250101,P.R.China

【机构】 山东大学附属省立医院肿瘤中心； 山东省立医院肿瘤中心；

【摘要】 目的:研究微波消融治疗肾上腺转移癌的近期局部治疗效果、安全性和不良反应。方法:肾上腺转移癌患者7例,8个病灶,病灶直径2.7cm～7.2cm,平均4.7cm。于CT引导下行经皮穿刺肾上腺转移癌灶微波消融术,术后即刻行CT平扫,术后1月行CT增强扫描,分别评价肿瘤坏死范围。结果:8个病灶术后即刻CT平扫提示坏死范围90%～100%,平均97.5%,完全坏死率75%(6/8),术后1月CT增强扫描提示坏死范围80%～100%,平均93.1%,完全坏死率50%(4/8)。全组无严重并发症发生。结论:微波消融治疗肾上腺转移癌安全、有效。更多还原

【Abstract】 Objective:To initially study the safetiness and effectiveness of microwave ablation in the Treatment of metastatic adrenal neoplasms.Methods:A total of 7 patients with 8 metastatic adrenal neoplasm lesions were treated with microwave ablation.The mean maximum diameter of the lesions was 4.7cm(range,2.7-7.2cm).Plain CT scanning immediately after ablation and enhanced CT scanning 1 month later were carried out to evaluate the extent of necrosis.Results: On plain CT scanning immediately after ablation,the extents of necrosis ranged from 90%to 100%(mean,97.5%) and complete necrosis rate was 75%(6/8).On enhanced CT scanning 1 month later,the rates were 80%to 100%(mean,93.1%) and 50%(4/8).No major complications were related to the ablations.Conclusion:Microwave ablation is safe and effective in treating metastatic adrenal neoplasms.更多还原