201104019-超选择性肾动脉栓塞术联

201104019-超选择性肾动脉栓塞术联 超选择性肾动脉栓塞术联合射频消融治疗 肾癌的临床疗效评价 朱先海，吕维富，鲁东，王伟昱， 安徽医科大学附属安徽省立医院介入放射科合肥 基金项目：安徽省卫生厅医学科研课（09C222） 第一作者：朱先海（1976-），男，安徽医科大学，硕士研究生，研究方向：介入放射学 通信作者：吕维富，E-mail：[摘要]目的探讨超选择性肾动脉栓塞术联合射频消融治疗肾癌的疗效。方法9例肾癌患者，超选择性肾动脉栓塞术后3-7天，CT引导下行射频消融；术后一月行肾脏病灶穿刺活检和CT增强检查评价其疗效。结果9例患者随访1-6个月,未发现肾脏肿瘤增大，无周围脏器损伤和针道种植；射频消融后出现肉眼血尿6例，一周后好转，肾功能治疗前后无明显变化。结论超选择性肾动脉栓塞联合射频消融治疗肾癌短期内疗效肯定，并发症少，是肾癌的一种安全有效的治疗手段。 【关键词】肾癌；肾动脉栓塞；射频消融 Theclinicalvalueofsuperselectiverenalarteryembolizationjointradiofrequencyablationinthetreatmentofrenalcarcinoma ZHUXian-hai,LVWei-fu,LuDong,WANGWei-yu.DepartmentofRadiology,TheAffiliatedProvincialHospitalofAnhuiMedicalUniversity,Hefei230001,P.R.ChinaCorrespondingauthor:LVWei-fu,E-mail:[Abstract]ObjectiveTothetherapeuticeffectivenessofsuperselectiverenalarteryembolizationjointradiofrequencyablationinthetreat-mentofrenalcarcinoma.Methods9casesofrenalcellcarcinomaweretreatedthrough superselectiverenalarteryembolizationandradiofrequencyablationIntheCT-guidedaftersuperselectiverenalarteryembolizationin3-7days.Theefficacywasevaluatedthroughrenallesionbiopsyandcontrast-enhancedCTinJanuaryaftersurgery.Resultstheninepatientswhofollow-up1to6monthshaven'tbeenfindingtumorofkidney'sinceasing,surroundingviscera'sinjureandneedlepassage'smetastasis.6caseswhooccurredgrosshematuriaafterradiofrequencyablationturnforthebetterafteraweek.ConclusionTheclinicalvalueofsuperselectiverenalarteryembolizationjointradiofrequencyablationisasafeandeffectiveinarelativelyshortperiodoftimetherapeuticmeansforrenalcarcinomaandFewercomplications. radiofrequencyablation[Keywords]renalcarcinoma；renalarteryembolization；