201104019-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2

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题计划（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：[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TheclinicalvalueofsuperselectiverenalarteryembolizationjointradiofrequencyablationinthetreatmentofrenalcarcinomaZHUXian-hai,LVWei-fu,LuDong,WANGWei-yu.DepartmentofRadiology,TheAffiliatedProvincialHospitalofAnhuiMedicalUniversity,Hefei230001,P.R.ChinaCorrespondingauthor:LVWei-fu,E-mail:[e-mail][Abstract]ObjectiveTothetherapeuticeffectivenessofsuperselectiverenalarteryembolizationjointradiofrequencyablationinthetreat-mentofrenalcarcinoma.Methods9casesofrenalcellcarcinomaweretreatedthroughsuperselectiverenalarteryembolizationandradiofrequencyablationIntheCT-guidedaftersuperselectiverenalarteryembolizationin3-7days.Theefficacywasevaluatedthroughrenallesionbiopsyandcontrast-enhancedCTinJanuaryaftersurgery.Resultstheninepatientswhofollow-up1to6monthshaven'tbeenfindingtumorofkidney'sinceasing,surroundingviscera'sinjureandneedlepassage'smetastasis.6caseswhooccurredgrosshematuriaafterradiofrequencyablationturnforthebetterafteraweek.ConclusionTheclinicalvalueofsuperselectiverenalarteryembolizationjointradiofrequencyablationisasafeandeffectiveinarelativelyshortperiodoftimetherapeuticmeansforrenalcarcinomaandFewercomplications.[Keywords]renalcarcinoma；renalarteryembolization；radiofrequencyablation