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肺癌射频消融并发症

时间:2020-03-01 23:16来源:未知 作者:admin 点击:
Chan, Victoria O.; McDermott, Shaunagh; Malone, Dermot E.; Dodd, Jonathan D. Percutaneous Radiofrequency Ablation of Lung Tumors: Evaluation of the Literature Using Evidence-based Techniques。Journal of Thoracic Imaging. 26(1):18-26, Febru

Complications

Minor

Pneumothorax 50 % (need for drainage 24-50 %)
Pleural effusion 20 %
Hemorrhagic infiltration 7.5 %
Cavitation 24 %

Major

very seldom



Rose SC et al., 2009, J Vasc Interv Radiol 
Steinke K et al., 2003 J Comput Assist Tomogr
  Hiraki T et al., 2006, Radiology
Okuma T et al., 2007, Cardiovasc Intervent Radiol
 

 
 
Summary of Complications From 2245 Percutaneous Pulmonary Ablations



Chan, Victoria O.; McDermott, Shaunagh; Malone, Dermot E.; Dodd, Jonathan D. Percutaneous Radiofrequency Ablation of Lung Tumors: Evaluation of the Literature Using Evidence-based Techniques。Journal of Thoracic Imaging. 26(1):18-26, February 2011.doi: 10.1097/RTI.0b013e3181e48d5e
              

Summary Pulmonary Ablations (n = 2,245)
Complication(s) Total (%) Range
Pneumothorax
   
     Minor 443 (28.3) 0 - 90
    Chest drain
220 (14.4)
0 - 63
Pleural effusions 231 (14.8) 0 – 86.7
Pain 220 (14.1) 0 - 100
Pyrexia
69 (4.4) 0 – 65.2
Hemoptysis
67 (4.3) 0 – 37.5
Pneumonia
23 (1.5) 0 – 22.2
Abscesses
7 (0.4) 0 – 6.5
Bronchopleural fistula
7 (0.4) 0 - 33
Subcutaneous emphysema
3 (0.2) 0 – 2.2
Procedure-related death 7 (0.2) 0 – 2.2
Chan et al. J Thorac Imaging 2011; 26:18-26.
 
 
 

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