胆道射频消融技术胆道射频消技术融技术.ppt

胰腺癌放疗术后3月， 支架阻塞获得再通 * 胰腺癌支架阻塞再通处理 * 胰腺癌支架置入前射频消融 射频电极被插进胆总管 在进行射频消融后，金属支架被放进右肝胆管 * 胰头腺癌射频消融 患有胰腺腺癌的病人，胆管造影显示胆总管下段狭窄 射频电极穿过狭窄处 胰头腺癌射频消融 * 壶腹腺癌射频消融，电极穿过肿瘤 壶腹腺癌射频消融 * * 支架内阻塞射频消融 Metal stent 金属支架 Endoablator in situ 射频导管定位 Ablation with 10W 2min x 2 消融：10瓦特， 2分钟× 2次 Ablation with 30W 3min 消融：30瓦特，3分钟 支架内阻塞射频消融---PTCD * * 支架内阻塞射频消融---ERCP * 支架内阻塞射频消融---ERCP 内容提要 射频及其在肿瘤临床中的应用； Endo-HPB是什么及其操作方法； Endo-HPB主要作用及其临床应用； Endo-HPB临床效果； * 胆道支架阻塞后射频消融临床研究 * Table 1 Patient characteristics Total number of patients 9 Age (median), yr 72 (39–78) Male:female ratio 7:2 Cholangiocarcinoma 6 Bismuth type I 1 Bismuth type II 1 Bismuth type IIIA 1 Bismuth type IV 3 Pancreatic adenocarcinoma 2 Metastatic disease 1 M. Pai et al.: Intraductal Radiofrequency Ablation for Clearance of Occluded Metal Stent。Cardiovasc Intervent Radiol DOI 10.1007/s00270-013-0688-x， 胆道支架阻塞后射频消融临床研究 * Table 2 Procedure details Length of stricture (cm)a 5.2 ± 1.6 No. of ablations 2 (1–3) Duration of ablation (min) 6 (2–20) Ablation energy (watts) 10 (10–20) Preablation diameter (mm) 1.6 (0–4) Postablation diameter (mm) 8 (3–10) Preablation bilirubin (lmol/L) 109 ± 43 Postablation bilirubin (lmol/L) 60 ± 27 M. Pai et al.: Intraductal Radiofrequency Ablation for Clearance of Occluded Metal Stent。Cardiovasc Intervent Radiol DOI 10.1007/s00270-013-0688-x， 胆道支架阻塞后射频消融临床研究 * M. Pai et al.: Intraductal Radiofrequency Ablation for Clearance of Occluded Metal Stent.Cardiovasc Intervent Radiol DOI 10.1007/s00270-013-0688-x， Fig. 2 A. Preablation holangiogram shows stent blockage. B. Cholangiogram shows radiofrequency ablation with the HabibTM HPB inside the blocked stent. C, D Postablation cholangiogram shows patent stent 经皮胆道射频消融治疗的安全性及临床疗效研究 * Table 1 Patient characteristics Total number of patients 39 Age (median), yr 67.5 (42–87) Male:female ratio 22:17 Cholangiocarcinoma 17 Bismuth type I 5 Bismuth type II 1 Bismuth type IIIA 4 Bismuth type IV 7 Pancreat