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目的观察经皮肝穿刺氩氦刀冷冻治疗肝癌术的副反应和并发症。方法2002年5月至2002年12月行经皮肝穿刺氩氦刀冷冻治疗肝癌术42例。统计经皮肝穿刺氩氦刀冷冻治疗肝癌术后出现的副反应和并发症。结果经皮肝穿刺氩氦刀冷冻治疗肝癌术后副反应主要为发热、上腹部疼痛、恶心呕吐,其发生率分别为92.9%、45.2%、33.3%。经皮肝穿刺氩氦刀冷冻治疗肝癌术后并发症主要为肝功能损害包括谷丙转氨酶升高、谷草转氨酶升高、黄疸、白蛋白降低、腹水和穿刺部位冻伤、寒战,发生率分别为83%、40.5%、9.5%、28.6%、9.5%、68.7%、9.5%。结论经皮肝穿刺氩氦刀冷冻治疗肝癌术后副反应主要为发热、上腹部疼痛、恶心呕吐,并发症主要为肝功能损害、穿刺部位冻伤、寒战。
Objective To observe the side effects and complications of percutaneous liver cryosurgery cryogenic treatment of liver cancer. Methods From May 2002 to December 2002, 42 cases of hepatocellular carcinoma (HCC) were treated by percutaneous transhepatic cryoablation. Statistics of percutaneous liver cryosurgical cryogenic treatment of liver cancer after surgery side effects and complications. Results Percutaneous liver cryosurgery cryogenic treatment of liver cancer side effects were mainly fever, upper abdominal pain, nausea and vomiting, the incidence was 92.9%, 45.2%, 33.3%. Percutaneous liver cryogenic cryosurgical treatment of liver cancer complications mainly due to liver damage including alanine aminotransferase, aspartate aminotransferase increased, jaundice, albumin decreased, ascites and puncture site frostbite, chills, the incidence was 83 %, 40.5%, 9.5%, 28.6%, 9.5%, 68.7%, 9.5%. Conclusions Percutaneous liver cryosurgery cryosurgery for postoperative liver cancer patients with side effects mainly fever, upper abdominal pain, nausea and vomiting, the main complications of liver damage, puncture site frostbite, chills.