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目的 总结 15 10例次肝癌射频消融治疗并发症的发生原因及其防治对策。方法 对 5 6 3例肝癌患者进行 15 10例次经皮肝穿射频消融治疗 ,通过临床观察 ,分析肝癌射频消融治疗后并发症发生的原因并总结预防处理措施。结果 在15 10例次肝癌射频消融治疗后共发生 14种并发症。最常见的为术后发热、出汗及肝区治疗部位疼痛 ;严重并发症为空腔脏器穿孔 ,腹腔内出血及心血管意外 ,共计 4例 ,其死亡率为 75 %。结论 射频消融治疗中晚期肝癌是新开展的而疗效确切的治疗方法。认真选择适应证 ,规范术前准备和手术操作及合理的术后处理是避免并发症发生的关键
Objective To summarize the causes of the complication of radiofrequency catheter ablation in 15 10 cases of hepatocellular carcinoma and its prevention and treatment. Methods Fifty-five patients with liver cancer undergoing percutaneous transhepatic radiofrequency ablation were treated with radiofrequency ablation. The causes of complications after radiofrequency ablation were analyzed by clinical observation and the preventive measures were summarized. Results A total of 14 complications occurred after radiofrequency ablation in 15 10 cases of liver cancer. The most common postoperative fever, sweating and pain in the treatment area of the liver; serious complications of hollow perforation, intraperitoneal hemorrhage and cardiovascular accidents, a total of 4 cases, the mortality rate was 75%. Conclusions Radiofrequency catheter ablation is a new and effective treatment for advanced liver cancer. Careful selection of indications, standardized preoperative preparation and surgical procedures and reasonable postoperative treatment is the key to avoiding complications