[1]张永远,王 猛,潘元威,等.CT引导氩氦刀冷冻消融治疗滑膜肉瘤的临床疗效初探[J].介入放射学杂志,2018,27(04):345-348.
 ZHANG Yongyuan,WANG Meng,PAN Yuanwei,et al.CT- guided argon- helium knife cryoablation for the treatment of synovial sarcomas: preliminary results of its clinical efficacy[J].journal interventional radiology,2018,27(04):345-348.
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CT引导氩氦刀冷冻消融治疗滑膜肉瘤的临床疗效初探()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
27
期数:
2018年04期
页码:
345-348
栏目:
非血管介入
出版日期:
2018-04-25

文章信息/Info

Title:
CT- guided argon- helium knife cryoablation for the treatment of synovial sarcomas: preliminary results of its clinical efficacy
作者:
张永远 王 猛 潘元威 杜可朴 李 帅 李亚丹 刘彦立 申玉鑫 周志刚
Author(s):
ZHANG Yongyuan WANG Meng PAN Yuanwei DU Kepu LI Shuai LI Yadan LIU Yanli SHEN Yuxin ZHOU Zhigang
Department of Radiology, First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province 450052, China
关键词:
【关键词】 氢氦刀 冷冻消融 滑膜肉瘤 安全性
文献标志码:
A
摘要:
【摘要】 目的 探讨CT引导经皮冷冻消融滑膜肉瘤的的安全性及短期疗效 方法 收集经病理学确诊为滑膜肉瘤20例患者,在CT引导下经皮行氩氦刀治疗并按照RECIST标准评价术后客观疗效。结果 根据术中CT评价冰球覆盖率,结果显示根治性冷冻为65%(13/20),显著减瘤冷冻为20%(4/20),有效减瘤冷冻为10%(2/20),无效减瘤冷冻为5%(1/20)。术后3个月疗效评价:完全缓解12例,部分缓解2例,疾病稳定3例,疾病进展3例,肿瘤直径缩小率为27%~43%,有效率(CR+PR)为70%。此外,术后3个月及6个月肿瘤复发率分别为15%、35%,疼痛缓解率85%(17/20)。中位随访时间6个月,最长随访时间41个月。术后并发症包括暂时性疼痛、皮肤冻伤、轻度神经损伤、胸腔积液、膀胱瘘。结论 CT引导氩氦刀冷冻消融治疗滑膜肉瘤不良反应轻,安全性高,近期疗效显著,值得临床推广。

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备注/Memo

备注/Memo:
(收稿日期:2017-05-26)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2018-04-16