摘要
目的探讨腹腔镜下冷循环射频消融(CRFA)治疗肾血管平滑肌脂肪瘤的可行性。方法对20例肾血管平滑肌脂肪瘤患者采用腹腔镜辅助下CRFA,比较手术前后肝肾功能、血红蛋白水平及血沉变化,术后定期随访消融灶的改变。结果 20例手术均获成功,手术时间65～125 min,出血量60～150 ml。术后1个月,23个肿瘤病灶完全消融21个,完全消融率91.30%。血红蛋白、肝肾功能较术前无明显变化。17例患者获得随访3～27个月,16例患者瘤体均无增大,1例有局部复发。结论腹腔镜下CRFA治疗肾血管平滑肌脂肪瘤是一种安全有效的方法。
Objective To evaluate the clinical feasibility of cool-tip radiofrequency ablation（CRFA） under laparoscopy for renal angiomyolipoma.Methods CRFA under laparoscope was performed in 20 patients with renal angiomyolipoma.Renal function,hemoglobin（Hb） and erythrocyte sedimentation rate（ESR） were recorded before and after operation and the patients were followed up.Results The operation was successful in all cases with operative time of 65 to 125 min,estimated blood loss of 60 to 150 ml.Of 23 lesions,21 lesions（91.30%） were ablated completely.Renal function,Hb and ESR were not significantly changed after operation.Of 17 cases underwent follow up for 3 to 27 months,16 cases showed completely necrosis of the tumors,1 case appeared local recurrence.Conclusion CRFA under laparoscopy for renal angiomyolipoma is an effective and safe tecnique.
出处
《江苏医药》
CAS
CSCD
北大核心
2011年第17期2025-2027,共3页
Jiangsu Medical Journal
关键词
冷循环射频消融
腹腔镜
肾血管平滑肌脂肪瘤
Cool-tipped electrodes radiofrequency ablation
Laparoscopy
Renal angiomyolipoma
作者简介
责任作者：郭宏骞zhangswnj@gmail．com
