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目的探讨射频消融(RFA)治疗肝肿瘤的并发症的原因及防治。方法对241例肝肿瘤患者进行526例次经皮肝穿射频消融治疗,分析并发症发生的原因并总结预防处理措施。结果在526例次肝癌射频消融治疗后共发生9种并发症,包括术后发热、肝区疼痛、肝功能异常、心率减慢、肝脓肿、胸腔积液、胆瘘等,无死于并发症的病例。结论射频消融治疗肝肿瘤疗效确切的方法。认真选择适应证,重视术前准备,规范手术操作是避免并发症发生的关键。
Objective To investigate the causes and prevention of complications of radiofrequency ablation (RFA) in the treatment of liver tumors. Methods Totally 241 cases of liver cancer patients underwent percutaneous transhepatic radiofrequency ablation (RFA). The causes of complications were analyzed and the preventive measures were summarized. Results There were 9 complications after radiofrequency catheter ablation in 526 cases of liver cancer, including postoperative fever, liver pain, abnormal liver function, slow heart rate, liver abscess, pleural effusion and biliary fistula without any complications Of cases. Conclusions Radiofrequency ablation is an effective method to treat liver tumors. Careful selection of indications, attention to preoperative preparation, regulate surgical procedures is to prevent the occurrence of complications.