微波消融在肝脏实性占位病变治疗中的应用

杜磊; 侯立朝; 张灵强; 王海久; 樊海宁

doi:10.3969/j.issn.1001-5256.2017.10.039

微波消融在肝脏实性占位病变治疗中的应用

DOI: 10.3969/j.issn.1001-5256.2017.10.039

1. 青海大学附属医院肝胆胰外科
2. 青海省包虫病研究重点实验室

基金项目:

青海省卫计委项目(Y2015-23)；

详细信息

中图分类号: R735.7
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出版历程
- 收稿日期: 2017-05-18
- 出版日期: 2017-10-20

Application of microwave ablation in treatment of solid space-occupying lesions in the liver

Department of Hepatopancreatobiliary Surgery, The Affiliated Hospital of Qinghai University

Research funding:

摘要

摘要: 随着科学技术的发展,肝脏占位性病变已有多种治疗方法,如外科手术、化疗、介入、生物治疗等。近年,微波技术以其创伤小、花费小、疗效肯定、并发症少等优点在肝脏占位性病变治疗中被广泛关注。回顾文献以进一步探讨微波在肝癌、肝血管瘤、肝泡型包虫病及其他肝脏良性占位性病变中的治疗进展。
- 肝疾病 /
- 导管消融术 /
- 微波 /
- 综述
Abstract: With the development of science and technology, many therapies for hepatic space-occupying lesions have emerged, such as surgical operation, chemotherapy, intervention, and biological therapy. In recent years, microwave technique for the treatment of hepatic space-occupying lesions has attracted more and more attention because of its small trauma, low expense, marked clinical effect, and few complications. This article reviews the advances in the application of microwave in the treatment of liver cancer, hepatic hemangioma, hepatic alveolar echinococcosis, and other benign hepatic space-occupying lesions.
- liver diseases /
- catheter ablation /
- microwaves /
- review

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参考文献(49)

[1]BAI XL, CHEN W, LIANG TB.Standardized treatment and problems worthy of attention for hemangioma of liver[J].Chin J Pract Surg, 2013, 33 (9) :755-758. (in Chinese) 白雪莉, 陈伟, 梁廷波.肝血管瘤规范化治疗及其值得注意的问题[J].中国实用外科杂志, 2013, 33 (9) :755-758.

[2]WEBB H, LUBNER MG, HINSHAW JL.Thermal ablation[J].Semin Roentgenol, 2011, 46 (2) :133-141.

[3]CURTO S, TAJ-ELDIN M, FAIRCHILD D, et al.Microwave ablation at 915 MHz vs 2.45 GHz:a theoretical and experimental investigation[J].Med Phys, 2015, 42 (11) :6152-6161.

[4]LIU P, WEI ZB, YU JY, et al.Clinical efficacy of microwave ablation and surgical resection for the treatment of early hepatocellniar carcinoma:a Meta analysis[J].Chin J Dig Surg, 2015, 14 (12) :1031-1037. (in Chinese) 刘平, 魏子白, 于俊岩, 等.微波消融与手术切除治疗早期原发性肝癌临床疗效的Meta分析[J].中华消化外科杂志, 2015, 14 (12) :1031-1037.

[5]TORO A, MAHFOUZ AE, ARDIRI A, et al.What is changing in indications and treatment of hepatic hemangiomas.A review[J].Ann Hepatol, 2014, 13 (4) :327-339

[6]ZHOU WP, WU MC.Selection of therapeutic methods for hepatic cavernous hemangioma[J].J Hepatobiliary Surg, 2005, 13 (3) :232-234. (in Chinese) 周伟平, 吴孟超.肝海绵状血管瘤治疗方法的选择[J].肝胆外科杂志, 2005, 13 (3) :232-234.

[7]HERMAN P, COSTA ML, MACHADO MA, et al.Management of hepatic hemangiomas:a 14-year experience[J].J Gastrointest Surg, 2005, 9 (6) :853-859.

[8]YAN Y, DAI RW, WANG T, et al.Clinical study of percutaneous microwave coagulation therapy for hepatic hemangioma[J/CD].Chin J Clinicians:Electronic Edition, 2012, 6 (18) :5732-5733. (in Chinese) 闫勇, 戴睿武, 汪涛, 等.经皮穿刺微波固化治疗肝血管瘤的临床研究[J/CD].中华临床医师杂志:电子版, 2012, 6 (18) :5732-5733.

[9]DONATI M, STAVROU GA, DONATI A, et al.The risk of spontaneous rupture of liver hemangiomas:a critical review of the literature[J].J Hepatobiliary Pancreat Sci, 2011, 18 (6) :797-805.

[10]BAJENARU N, BALABAN V, SAVULESCU F, et al.Hepatic hemangioma[J].J Med Life, 2015, 8:4-11.

[11]GRIFFA B, BASILICO V, BELLOTTI R, et al.Spontaneous rupture of giant subcapsular hemangioma of the liver with hemoperitoneum and hemorrhagic shock:a case report[J].Chir Ital, 2005, 57 (3) :389-392.

[12]DU XL, LU JG, CHU YK, et al.Ultrasound-guided treatment of moderate hemangioma of liver by microwave tissue coagulation[J].BME&Clin Med, 2007, 11 (1) :40-43. (in Chinese) 杜锡林, 鲁建国, 褚延魁, 等.B超引导下微波热毁损治疗肝脏海绵状血管瘤[J].生物医学工程与临床, 2007, 11 (1) :40-43.

[13]HU QW, CHEN Y.Microwave ablation for the treatment of hepatic cavernous hemangiomas:its serious complications and their prevention and treatment[J].J Intervent Radiol, 2014, 23 (6) :500-502. (in Chinese) 胡清雯, 陈夷.微波消融治疗肝海绵状血管瘤致并发症分析及其防治[J].介入放射学杂志, 2014, 23 (6) :500-502.

[14]WU ZB, WANG SD, WANG CQ, et al.Clinical analysis of laparoscopic microwave ablation for hepatic hemangioma[J].Chin J Gen Surg, 2015, 24 (7) :996-1000. (in Chinese) 吴珍宝, 王苏丹, 汪长青, 等.腹腔镜下微波消融治疗肝血管瘤的临床研究[J].中国普通外科杂志, 2015, 24 (7) :996-1000.

[15]ZHANG JQ, XU B.Percutaneous microwave ablation for huge liver cavernous hemangiomas assisted by focal blood extraction under contrast-enhanced ultrasound guidance[J].Acad J Second Military Med Univ, 2010, 31 (10) :1068-1072. (in Chinese) 章建全, 徐斌.超声造影及抽吸瘤内血液辅助下经皮微波消融治疗巨大肝海绵状血管瘤[J].第二军医大学学报, 2010, 31 (10) :1068-1072.

[16]YAO XP, WU MC, JING L.Microwave coagulation therapy for huge hepatic cavernous hemangioma[J].Chin J Hepatobiliary Surg, 2004, 10 (3) :55-56. (in Chinese) 姚晓平, 吴孟超, 荆良.微波固化治疗巨大肝脏海绵状血管瘤[J].中华肝胆外科杂志, 2004, 10 (3) :55-56.

[17]ZHANG X, XIONG B, YAO Q, et al.Transcatheter arterial sclerotic embolization for the treatment of giant hepatic cavernous hemangioma:analysis of the effectiveness and the safety[J].J Intervent Radiol, 2015, 24 (11) :992-995. (in Chinese) 张欣, 熊斌, 姚琦, 等.巨大肝海绵状血管瘤经导管动脉硬化栓塞治疗的有效性和安全性分析[J].介入放射学杂志, 2015, 24 (11) :992-995.

[18]LIU YF, MEI LY, YUAN Q, et al.Hepatic artery embolization combined with microwave ablation for the treatment of giant hepatic hemangioma of special site:a report of 17 cases[J].Clin J Curr Adv Gen Surg, 2013, 16 (12) :938, 954. (in Chinese) 刘勇峰, 梅乐园, 袁泉, 等.肝动脉栓塞联合微波消融治疗特殊部位巨大肝血管瘤17例[J].中国现代普通外科进展, 2013, 16 (12) :938, 954.

[19]SHENG SP, ZHENG JS.Transcatheter arterial embolization combined with CT-guided thermal ablation for the treatment of hepatic hemangiomas[J].J Intervent Radiol, 2015, 24 (11) :996-999. (in Chinese) 生守鹏, 郑加生.动脉栓塞联合CT引导热消融治疗肝血管瘤[J].介入放射学杂志, 2015, 24 (11) :996-999.

[20]SEO HI, JO HJ, SIM MS, et al.Right trisegmentectomy with thoracoabdominal approach after transarterial embolization for giant hepatic hemangioma[J].World J Gastroenterol, 2009, 15 (27) :3437-3439.

[21]KOSOVA G, URBANEK M.Genetics of the polycystic ovary syndrome[J].Mol Cell Endocrinol, 2013, 373 (1-2) :29-38.

[22]REATAZA M, IMAGAWA DK.Advances in managing hepatocellular carcinoma[J].Front Med, 2014, 8 (2) :175-189.

[23]RAVAIOLI M, ERCOLANI G, NERI F, et al.Liver transplantation for hepatic tumors:a systematic review[J].World J Gastroenterol, 2014, 20 (18) :5345-5352.

[24]Ministry of Health of the People's Republic of China.Diagnosis, management, and treatment of hepatocellular carcinoma (V2011) [J].J Clin Hepatl, 2011, 27 (11) :1141-1159. (in Chinese) 中华人民共和国卫生部.原发性肝癌诊疗规范 (2011年版) [J].临床肝胆病杂志, 2011, 27 (11) :1141-1159.

[25]SEKI T, WAKABAYASHI M, NAKAGAWA T, et al.Ultrasonically guided percutaneous microwave coagulation therapy for small hepatocellular carcinoma[J].Cancer, 1994, 74 (3) :817-825.

[26]WANG YM, LI ZW, QIN J, et al.Comparison of microwave ablation and surgical resection in the treatment of small hepatocellular carcinoma[J].China Health Ind, 2014, 9:125-126. (in Chinese) 王耀明, 李致文, 覃军, 等.微波消融与手术切除治疗小肝癌的疗效比较[J].中国卫生产业, 2014, 9:125-126.

[27]LYU MD, KUANG M, LIANG LJ, et al.Surgical resection versus percutaneous thermal ablation for early-stage hepatocellular carcinoma:a randomized clinical trial[J].Natl Med J China, 2006, 86 (12) :801-805. (in Chinese) 吕明德, 匡铭, 梁力建, 等.手术切除和经皮热消融治疗早期肝癌的随机对照临床研究[J].中华医学杂志, 2006, 86 (12) :801-805.

[28]KUDO M.Radiofrequency ablation for hepatocellular carcinoma:updated review in 2010[J].Oncology, 2010, 78 (Suppl 1) :113-124.

[29]CUI X, LI KY, LUO HC, et al.Ultrasound-guided percutaneous microwave ablation of hepatic cancer in special parts[J].J Clin Ultrasound in Med, 2012, 14 (5) :313-316. (in Chinese) 崔贤, 李开艳, 罗鸿昌, 等.超声引导经皮微波消融治疗特殊部位肝癌[J].临床超声医学杂志, 2012, 14 (5) :313-316.

[30]YANG XH, HUANG SJ, YU J, et al.Long-term response of ultrasound-guided percutaneous microwave ablation for hepatocellular carcinoma adjacent to vessels[J].J Chin Oncol, 2016, 22 (1) :24-28. (in Chinese) 杨晓环, 黄十佳, 于杰, 等.超声引导经皮微波消融治疗邻近血管的原发性肝癌的长期疗效[J].肿瘤学杂志, 2016, 22 (1) :24-28.

[31]LI JS, LOU KX, HAN L, et al.Evaluation of contrast-enhanced ultrasound guided microwave ablation for the treatment of advanced hepatic malignant tumors[J].China Med Herald, 2016, 13 (17) :82-85. (in Chinese) 李劲松, 娄可新, 韩亮, 等.超声造影引导下微波消融治疗晚期肝脏恶性肿瘤的临床观察[J].中国医药导报, 2016, 13 (17) :82-85.

[32]LYU MD, XU HX, KUANG M, et al.Innovated microwave ablation for liver cancer[J].Chin J Pract Surg, 2004, 24 (11) :41-43, 76. (in Chinese) 吕明德, 徐辉雄, 匡铭, 等.改进微波消融技术治疗肝癌的研究[J].中国实用外科杂志, 2004, 24 (11) :41-43, 76.

[33]ZIEMLEWICZ TJ, WELLS SA, LUBNER MG, et al.Hepatic tumor ablation[J].Surg Clin North Am, 2016, 96 (2) :315-339.

[34]CHENG P, SU XM, ZHU YJ, et al.Analysis of the ultrasound guided microwave ablation for metastatic hepatic carcinoma[J].Pract J Cancer, 2014, 29 (7) :797-798, 801. (in Chinese) 程朋, 苏晓妹, 朱亚杰, 等.超声引导下微波消融治疗转移性肝癌的疗效分析[J].实用癌症杂志, 2014, 29 (7) :797-798, 801.

[35]WANG BQ, XUE F, XU L, et al.Analysis of microwave coagulation ablation for recurrent liver cancer[J].J World Latest Med Inf, 2015, 15 (61) :99-100. (in Chinese) 王伯庆, 薛峰, 徐林, 等.肝癌术后复发灶的微波固化消融治疗分析[J].世界最新医学信息文摘, 2015, 15 (61) :99-100.

[36]WANG CQ, WU ZB, MENG QH.Efficacy and safety of percutaneous microwave coagulation therapy for recurrent hepatocellular carcinoma in large hepatic artery[J].Chin J Gen Surg, 2013, 22 (7) :958-960. (in Chinese) 汪长青, 吴珍宝, 孟庆华.经皮微波固化治疗肝内大血管旁复发性肝癌的安全性及疗效[J].中国普通外科杂志, 2013, 22 (7) :958-960.

[37]LIANG P, WANG Y, YU X, et al.Malignant liver tumors:treatment with percutaneous microwave ablation-complications among cohort of 1136 patients[J].Radiology, 2009, 251 (3) :933-940.

[38]TANG T, GU SZ, LI GW, et al.Efficacy of CT-guided microwave ablation for postoperative recurrence of liver cancer[J].Chin J Interv Imaging Ther, 2015, 12 (11) :657-660. (in Chinese) 唐田, 古善智, 李国文, 等.CT引导下微波消融治疗肝癌术后复发的疗效分析[J].中国介入影像与治疗学, 2015, 12 (11) :657-660.

[39]BAKER EH, THOMPSON K, MCKILLOP IH, et al.Operative microwave ablation for hepatocellular carcinoma:a single center retrospective review of 219 patients[J].J Gastrointest Oncol, 2017, 8 (2) :337-346.

[40]XUE F, XU J, DING Q, et al.The effect of microwave ablation in contraindicated big liver cancer through laparoscopy[J].J Laparo Surg, 2008, 13 (1) :8-10. (in Chinese) 薛峰, 徐建, 丁琪, 等.腹腔镜下微波消融治疗非手术适应证大肝癌疗效分析[J].腹腔镜外科杂志, 2008, 13 (1) :8-10.

[41]SUN WY, JIANG HL, YU H, et al.Ultrasound guided combined with laparoscopic microwave ablation in treatment for special site liver cancer[J].Chin J Bases Clin Gen Surg, 2012, 19 (2) :188-191. (in Chinese) 孙文郁, 姜洪磊, 于浩, 等.超声引导联合腹腔镜微波消融治疗特殊部位肝癌的临床体会[J].中国普外基础与临床杂志, 2012, 19 (2) :188-191.

[42]YU X, CAO JY, GAO Y, et al.The value of contrast-enhanced ultrasound guided biopsy of liver occupying lesions[J].Chin J Med Offic, 2017, 45 (5) :466-468. (in Chinese) 于馨, 曹军英, 高越, 等.超声造影引导在肝占位性病变穿刺活检中应用价值[J].临床军医杂志, 2017, 45 (5) :466-468.

[43]MURATA S, MINE T, UEDA T, et al.Transcatheter arterial chemoembolization based on hepatic hemodynamics for hepatocellular carcinoma[J].Sci World J, 2013, 2013:479805.

[44]CHEN G, TANG XJ, LI HB, et al.Evaluation on curative effect of TACE combined with microwave ablation for hepatic cellular carcinoma with moderate and advanced stage[J].J Clin Radiol, 2012, 31 (5) :710-713. (in Chinese) 陈刚, 唐晓军, 李宏波, 等.肝动脉化疗栓塞联合经皮微波消融治疗中晚期肝癌的疗效评价[J].临床放射学杂志, 2012, 31 (5) :710-713.

[45]GUO CY, HU HT, LI HL, et al.Complications of CT-guided percutaneous microwave coagulation therapy for hepatocellular carcinoma[J].J Pract Med, 2010, 26 (13) :2356-2358. (in Chinese) 郭晨阳, 胡鸿涛, 黎海亮, 等.CT引导微波治疗原发性肝癌的并发症分析[J].实用医学杂志, 2010, 26 (13) :2356-2358.

[46]SHEN LJ, YAN P, ZHANG JN, et al.Comparative analysis of liver cancer treatment effect by using Ar-He cryablation, radiofrequency radiation and microwave ablation[J].J Med Imaging, 2015, 25 (10) :1836-1839. (in Chinese) 沈立杰, 严鹏, 张娟娜, 等.CT引导下氩氦冷冻、射频消融和微波消融治疗肝癌的疗效对比[J].医学影像学杂志, 2015, 25 (10) :1836-1839.

[47]CUI HK, LI FB, ZHANG MQ, et al.Retrospective analysis of CTguided psychro-circulation percutaneous microwave coagulation therapy (PMCT) in the treatment of hepatic metastasis[J].Contemp Med, 2010, 16 (29) :545-547. (in Chinese) 崔红凯, 李奋保, 张铭秋, 等.CT引导下冷循环微波刀治疗转移性肝癌的疗效分析[J].当代医学, 2010, 16 (29) :545-547.

[48]GUO Q, HU SS, HU L, et al.CT guided microwave ablation in treatment of hepatic adenoma[J].Chin J Interv Imaging Ther, 2017, 14 (6) :386-387. (in Chinese) 郭庆, 胡杉杉, 胡兰, 等.CT引导下微波消融治疗肝脏腺瘤[J].中国介入影像与治疗学, 2017, 14 (6) :386-387.

[49]BRUNETTI E, FILICE C.Radiofrequency thermal ablation of echinococcal liver cysts[J].Lancet, 2001, 358 (9291) :1464.

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