Study on the methods and effect of creating artificial ascites in thermal ablation of liver or kidney tumors under ultrasonic guidance
10.3760/cma.j.issn.1004-4477.2018.09.013
- VernacularTitle:肝肾肿瘤热消融术中超声引导下人工腹水创建的方法和效果研究
- Author:
Xiaohua XIE
1
;
Bowen ZHUANG
;
Manxia LIN
;
Guangliang HUANG
;
Baoxian LIU
;
Wei WANG
;
Mingde LYU
;
Xiaoyan XIE
Author Information
1. 中山大学超声诊断与介入超声研究中心 中山大学附属第一医院介入超声科
- Keywords:
Ultrasonic guidance;
Liver tumors;
Kidney tumors;
Thermal ablation;
Artificial ascites
- From:
Chinese Journal of Ultrasonography
2018;27(9):795-799
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of artificial ascites under ultrasonic guidance in the thermal ablation of liver or kidney tumors ,so as to provide basis for successfully creating artificial ascites , increasing the complete ablation rate of the tumors and reducing the damage of important organs . Methods Seven hundred and thirty-six patients with artificial ascites were performed under ultrasonic guidance during the thermal ablation of liver or kidney tumors and six hundred and seventy-nine patients were successfully performed . The success rate of creating artificial ascites at different sites ,time requirement ,the effect of ascites , puncture times were analyzed , while curative effect and complications were evaluated and summarized . Results The success rate of creating artificial ascites was 92 .3％ ;the average time of creating artificial ascites was( 9 .1 ± 1 .3) minutes ;the average puncture times was( 1 .1 ± 0 .2) times ;complete ablation was 98 .7％ ;the complication of ascites creation was 0 .44％ ,minor complications after ablation was 6 .20％ , severe complications was 0 .59％ . The required fluid volume and success rates for the creation of artificial ascites in different sites were different . The volume of fluid needed was relatively high in the liver-gastric space ,and the success rate was relatively low ;the success rate of liver septum and liver -kidney crypts was the highest . Heat injury complications of the important organs such as gastrointestinal tract ,esophagus , diaphragm near the liver or kidney tumors were 0 . Conclusions The establishment of artificial ascites improves the local curative effect and reduces the complication of tumors ablation in difficult locations . The methods and effect of artificial ascites in different parts of liver or kidney are different .
