| 摘要: |
| 目的 探讨分属不同专科的两种良性肿瘤同期实施微波联合消融治疗的可行性及意义。方法 对1例罹患较大甲状腺腺瘤和巨大肝海绵状血管瘤的患者,分别采用局部麻醉和全身麻醉条件下同期进行微波消融治疗,评估手术过程的安全性和动态疗效。结果 麻醉及消融手术安全顺利实施,患者未发生明显不良反应,两者治疗共耗时约90分钟。治疗后第三天患者出院。甲状腺消融区和肝脏消融区呈动态萎缩,瘤周正常甲状腺组织和肝脏组织呈动态恢复；甲状腺功能与肝肾功能未见损害。结论 微波联合消融以轻微的创伤有效地治疗甲状腺腺瘤和肝海绵状血管瘤,联合消融则明显节约医疗资源,促进病人尽早康复。联合微波消融治疗的理念具有探讨和推广潜力。 |
| 关键词: 甲状腺肿瘤 腺瘤 肝肿瘤 海绵状血管瘤 微波消融 联合治疗 |
| DOI：10.3724/SP.J.1008.2015.00573 |
| 投稿时间：2014-09-18修订日期：2015-01-10 |
| 基金项目:国家自然科学基金(81171436). |
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| Microwave ablation for simultaneous treatment of thyroid adenoma and liver cavernous hemangioma: a preliminary experience |
| PAN Qian△,ZHANG Jian-quan△*,ZHAO Lu-lu,ZHANG Hang |
(Department of Ultrasound in Medicine, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China
△Co-first authors.
*Corresponding author) |
| Abstract: |
| Objective To investigate the feasibility and significance of joint microwave ablation for simultaneous treatment of two or more benign neoplasms originating from different organs which are conventionally managed in different disciplinary offices. Methods We treated a middle-aged female patient suffered with a large thyroid adenoma and a huge liver cavernous hemangioma with microwave ablation under local anesthesia and general anesthesia consecutively in one treatment session. The safety of operation and dynamic therapeutic effect were assessed. Results The thermal ablation procedures were both successful and eventful. The total operation time was about 90 minutes. The patient was discharged on the third day after ablation. During the follow-up, ultrasonography revealed a significant shrinkage of thyroid adenoma and liver hemangioma and recovery of the perinodular thyroid or liver tissue. The laboratory tests showed functional abnormalities of neither the thyroid, nor the liver and kidney. Conclusion: Joint microwave ablation for simultaneously treating large thyroid adenoma and huge liver cavernous hemangioma was verified safe, efficacious and medical resources sparing. This innovative therapeutic concept is worth of further investigation and promotion. |
| Key words: thyroid neoplasms adenoma liver neoplasms cavernous hemangioma microwave ablation joint treatment |
