[1]沈佳佳 张小进 杜苏明 江哲龙 潘 凡.射频消融治疗肝胆超声介入穿刺后出血的效果分析(附8例报告)[J].福建医药杂志,2019,41(03):15-17.
 SHEN Jiajia,ZHANG Xiaojin,DU Suming,et al.Effect analysis of radiofrequency ablation in the treatment of hepatobiliary bleeding after ultrasound interventional puncture:Report of 18 cases[J].FUJIAN MEDICAL JOURNAL,2019,41(03):15-17.
点击复制

射频消融治疗肝胆超声介入穿刺后出血的效果分析(附8例报告)()
分享到:

《福建医药杂志》[ISSN:1002-2600/CN:35-1071/R]

卷:
41
期数:
2019年03期
页码:
15-17
栏目:
临床研究
出版日期:
2019-02-20

文章信息/Info

Title:
Effect analysis of radiofrequency ablation in the treatment of hepatobiliary bleeding after ultrasound interventional puncture:Report of 18 cases
文章编号:
1002-2600(2019)03-0015-03
作者:
沈佳佳 张小进1 杜苏明 江哲龙 潘 凡
中国人民解放军联勤保障部队第900医院肝胆外科(福州 350025)
Author(s):
SHEN JiajiaZHANG Xiaojin DU Suming JIANG ZhelongPAN Fan.
Department of Hepatobiliary Surgery, Chinese Peoples Liberation Army Joint Logistics Support Force No.900 Hospital, Fuzhou,Fujian 350025, China
关键词:
射频消融 超声介入 穿刺 出血
Keywords:
radiofrequency ablation ultrasonic intervention puncture bleeding
分类号:
R657.3; R657.4
文献标志码:
B
摘要:
目的 总结射频消融止血在肝胆疾病超声介入穿刺后出血的救治体会。方法 分析我 科2015年1月至2018年12月收治的8例行超声介入穿刺后出血患者的临床资料,对射频消融治疗后 的疗效进行总结。结果 8例患者行超声介入穿刺后出现出血,经射频消融治疗后,8例均有效地控 制出血,其中1例1个月后出血消融部位出现脓肿,予以穿刺引流后治愈。结论 射频消融能控制超 声介入穿刺出血,且安全、可靠,为临床提供了新的抢救、治疗思路。
Abstract:
Objective To summarize the treatment experience of radiofrequency ablation hemostasis in patients with hepatobiliary diseases after ultrasound interventional puncture.Methods The clinical data of eight cases of bleeding after ultrasound interventional puncture admitted to our department from January 2015 to December 2018 were analyzed, and the efficacy after radiofrequency ablation was summarized.Results In total, eight patients had bleeding after ultrasound interventional puncture, and all eight patients had effective control of bleeding after radiofrequency ablation.One patient had abscess at the ablation site of bleeding one month later, which was cured after puncture and drainage.Conclusion Radiofrequency ablation can control the bleeding caused by ultrasound interventional puncture, and it is safe and reliable.

参考文献/References:

[1] 黄洁夫.腹部外科学[M].北京:人民卫生出版社,2001:1406.
[2] Bravo A A,Sheth S G,Chopra S.Liver biopsy[J].N Engl J Med,2001,15; 344 (7):495-500.
[3] 何志安,赖江琼,余丽萍,等.超声引导下经皮肝穿刺活检术并发症分析[J].临床军医杂 志,2012,40(1):221-223.
[4] Maeda A,Kunou S,Aono K,et al.Pseudoaneurysm of the cystic artery with hemobilia treated by arterial embolization and elective cholecystectomy [J].Hepatobiliary Pancreat Surg,2002,9(6):755-758.
[5] Rossi S,Fomari F,Pathies C,et al.Thermal lesions induced by 480 KHz localized current field in guinea pig and pig liver[J].Tumori,1990,76(1):54-57.
[6] Rossi S,Fomafi F,Buscarini L.Pereutaneous ultrasound guided radiofrequency electrocautery for the treatment of small hepato-cellular carcinoma[J].Interv Radiol,1993,8(1):97-103.
[7] Na D G,Lee J H,Jung S I,et al.Radio Frequency ablation benign thyroid nodules and recurrent thyroid cancers:consensus statement and recommendations [J].Korean J Radiol,2012,13(2):117-125.
[8] Keltz J,Levie M,Chudnoff S.Pregnancy outcomes after direct uterine myoma thermal ablation:review of the literature [J].J Minim Invasive Gynecol,2017,24 (4):538-545.
[9] Wu S,Hou J,Ding Y,et al. Cryoablation versus radiofrequency ablation for hepatic malignancies: a systematic review and literature-based analysis [J].Medicine(Baltimore),2015,94(49):e2252.
[10] 沈锐潮,金昌南,郭争捷,等.射频消融治疗肝穿刺后出血临床体会[J].肝胆胰外科杂 志,2016,28(4):315-317.

备注/Memo

备注/Memo:
基金项目:福建省科技计划军民共建(社发)引导性项目(2016Y5006) 1 通信作者,Email:913362374@qq.com
更新日期/Last Update: 2019-02-20