非手术室麻醉 (NORA) 超声导向肝脏射频消毒
Carlo Felix Maria Jung1, Elisa Liverani1, Cecilia Binda1
1Gastroenterology and Digestive Endoscopy Unit, Forlì-Cesena Hospitals, AUSL Romagna, 47121 Forlì, Italy.
Diagnostics (Basel, Switzerland)
|August 29, 2024
概括
在非手术室麻醉 (NORA) 环境下进行射频除 (RFA) 对肝脏瘤是安全有效的. 这种方法确保了患者的高耐受性和肝细胞癌和其他肝转移的优良瘤结果.
科学领域:
- 干预性放射学 干预性放射学
- 在瘤学瘤学.
- 麻醉学 麻醉学
背景情况:
- 穿皮超声导向射频剥离 (RFA) 是肝癌的标准治疗方法.
- 在RFA期间,镇静对于患者的舒适性和程序安全至关重要.
- 镇静类型对RFA结果的影响需要进一步调查.
研究的目的:
- 用非手术室麻醉 (NORA) 方法评估RFA对肝脏瘤的安全性和有效性.
- 评估程序并发症和短期瘤结果.
- 为了确定患者接受和容忍NORA设置的肝脏RFA.
主要方法:
- 在NORA环境下进行肝脏RFA的患者的回顾性分析.
- 收集有关手术并发症和瘤结果的数据.
- 逐步镇静方法涉及局部麻醉和剥离期间的深度镇静.
主要成果:
- 治疗了35名患有HCC,CRLM和胃癌转移的患者.
- 没有发生麻醉相关的并发症; 一名患者进行了对流的保守管理.
- 100%的局部无瘤存活率在1个月和6个月的治愈性RFA意图.
结论:
- 肝脏RFA的NORA显示出高的患者接受度和耐受度.
- 诺拉方法产生最佳的术后和瘤学结果.
- 在NORA中,超声导向的RFA是一种安全有效的肝脏恶性瘤治疗方式.
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