摘要
目的对246例超声引导下经皮穿刺微波消融治疗肝癌并发症进行分析,为预见性护理提供依据。方法选取2011年9月-2012年8月于我科行微波消融治疗的原发性及转移性肝癌患者246例,应用自行设计的微波消融治疗肝癌并发症观察表进行记录、分析。结果本组246例共实施微波消融治疗382次,术后主要并发症为疼痛（78.46%）、发热（60.98%）、高血压（58.54%）、肝功能受损（36.18%）、高血糖（19.92%）、低钾血症（9.76%）。其中疼痛以轻-中度为主（96.89%）;发热以中度热为主（62.67%）,持续1~2 d（93.33%）。严重并发症包括出血2例（0.81%）、肝脓肿1例（0.41%）。术后高血压、高血糖与伴随疾病密切相关（P〈0.01）。结论超声引导下经皮穿刺微波消融治疗肝癌并发症多为一过性、可逆性,部分并发症与伴随疾病密切相关。
Objective To analyze the complications of 246 liver cancer patients treated with ultrasound-guided percutaneous microwave ablation and supply basis for prophetic nursing care. Methods Clinical data about 246 patients with primary or metastatic liver cancer hospitalized in our department from September 2011 to August 2012 were analyzed. The complications observation form designed by ourselves of microwave ablation treatment for liver cancer were recorded and analyzed. Results All patients were treated with microwave ablation for 382 times. The main complications were pain（78.46%）, fever（60.98%）, hypertension（58.54%）, damage of liver function（36.18%）, hyperglycaemia（19.92%） and hypokalemia（9.76%）, in which mild to moderate pain accounting for 96.89%. The fever was mainly moderate（62.67%）, which lasted for 1-2 days（93.33%）. The severe complications were haemorrhage in 2 patients（0.81%） and hepatapostema in 1 patient（0.41%）. The hypertension and hyperglycaemia after treatment were related with the accompanied disease（P 〈0.01）. Conclusion The complications of ultrasound-guided percutaneous microwave ablation for liver cancer are mostly temporary and reversible, part of which are closely related with the accompanied diseases.
出处
《解放军医学院学报》
CAS
2015年第9期883-885,共3页
Academic Journal of Chinese PLA Medical School
基金
国家科技支撑计划项目(2013BAI011301)~~
关键词
肝癌
超声介入
热消融
并发症
liver cancer
interventional ultrasound
thermal ablation
complication
作者简介
张雪花，女，学士，副主任护师，护士长。研究方向：肿瘤护理。Email：zhangxh227@8ina．com
