消化道肿瘤肝转移的介入治疗ppt课件.pptVIP

消化道肝转移癌的介入治疗;概述; Nordlinger教授归纳1568例病例后认为肿瘤肝转移癌的不利因素 ;治疗观点;介入治疗;介入治疗; 一.超声介入治疗 ;（一）经皮瘤内无水乙醇注射（1） ;经皮瘤内无水乙醇注射（2）;经皮瘤内无水乙醇注射（3）; 局限性 ;（二）射频消融（1）;射频消融（2）;射频消融（3）;RITA射频消融系统;射频消融（4）;射频消融（5）;射频消融（6） ;射频消融（7）;射频消融;射频消融（8）;（三）微波固化（1）;微波固化（2）;微波固化（3）;微波固化（4）;微波固化（5）;微波固化（6）;微波固化（7）;（四）激光疗法(LITT) （1） ;激光疗法（2）;激光疗法（3）;激光疗法（4）;（五）冷冻治疗(CSA)（1）;冷冻治疗（2）;冷冻治疗（3）;;文献;;（六）仍需注意的问题;二、经血管的介入治疗;（一）肝动脉栓塞化疗（1）;肝动脉栓塞化疗 （2）;肝动脉栓塞化疗（3）;肝动脉栓塞化疗（4）;（二）肝动脉插管灌注化疗 ;图1a:　肝右叶转移性肿瘤,多血供型 富血供的DSA表现：供血动脉增粗，新生血管相对丰富，沿病灶周围分布,肿瘤染色明显，常为周边部较浓，中心偏淡 ;（三）肝动脉和门静脉双路径治疗（1） ;肝动脉和门静脉双路径治疗（2）;三、联合治疗;四、预防性血管介入治疗（1）;预防性血管介入治疗（2）;（一）预防性肝动脉化疗（1）;预防性肝动脉化疗（2）;预防性肝动脉化疗（3）;（二）预防性门静脉的灌注化疗（1）;预防性门静脉的灌注化疗（2） ;预防性门静脉的灌注化疗（3）;预防性门静脉的灌注化疗（4）;五、中药介入治疗（1）;中药介入治疗（2）;谢 谢! THANK YOU FOR YOUR TIME AND CONSIDERATIONS!;Current treatment for colorectal cancer metastatic to the liver.;Surgical resection of colorectal carcinoma metastases to the liver. A prognostic scoring system to improve case selection, based on 1568 patients. Association Francaise de Chirurgie ;Liver metastases: interventional therapeutic techniques and results,state of the art;;PURPOSE: To evaluate the complications from laser-induced thermotherapy (LITT) of malignant liver tumors and demonstrate that LITT is safe as an outpatient procedure. MATERIALS AND METHODS: During 8 years, 899 patients with malignant liver tumors were treated with magnetic resonance (MR) imaging–guided LITT. A total of 2,132 LITT procedures were performed to treat 2,520 lesions. To account for the technical evolution of LITT during this time and the change from performing the procedure on an inpatient basis to performing it on an outpatient basis, patients were assigned to four groups. Overall complication rates and major and minor complications in the inpatient versus outpatient groups were evaluated. Multidimensional contingency table analysis with the 2 test was performed. RESULTS: On the basis of a total of 2,132 LITT procedures performed, complications were divid