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射频热消融(radiofrequency ablation,RFA)治疗肝细胞癌在临床上使用日趋广泛,但RFA治疗后仍会出现一些并发症,主要包括局部感染(脓肿形成)和局部出血,以及胆管损伤、接地板烧伤和胸部及小肠的并发症。射频治疗的并发症不能忽视,合理控制RFA治疗的适应证及早期发现并发症,并早期处理是必要的。避免并发症的发生有三个主要策略,首要策略是不给可能发生并发症的患者做该治疗;第二种策略是早期发现RFA治疗后的并发症;最后一种策略是对并发症的合理的处治。
Radiofrequency ablation (RFA) treatment of hepatocellular carcinoma is becoming more and more widely used in clinical practice. However, there are still some complications after RFA treatment, including local infection (abscess formation) and local bleeding, as well as bile duct injury, ground floor burn And chest and small bowel complications. Radiofrequency complications can not be ignored, reasonable control of RFA indications and early detection of complications, and early treatment is necessary. There are three main strategies to avoid the occurrence of complications, the first strategy is not to treat patients with possible complications; the second strategy is early detection of post-RFA complications; the last strategy is to make a reasonable complication Treatment.