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asked in 社會與文化語言 · 1 decade ago

醫學paper 急用拜託 勿用機器翻譯

Benefits and Complications

Much of the allure of RFA is its ability to achieve local

tumor destruction with little morbidity and mortality.

This is important in this patient population with unresectable

liver metastases. Patients can be discharged on

the same day or within 2 days.Siperstein et al

found that quality-of-life parameters return to baseline

by 1 week postoperatively. A recent meta-analysis of 95

published series reported a complication rate after

RFA of 8.9%. The most common complications are

abdominal bleeding (1.6%), abdominal infection (1.1%),

and injury to the biliary tree (1.0%). Mortality after RFA

is virtually zero, ranging from 0% to 0.5%.

RFA has been maligned for its high associated rate

of local recurrence. Recurrence rates have ranged from

1.8% to 12% in surgical approaches and as high

as 40% in percutaneous approaches.Solbiati et al

have shown that 96% of local recurrences occur within

12 months. The incidence of new hepatic metastases

after RFA varies between 44% and 50%.These statistics

are colored by the high-risk population in which

RFA was first employed. A meta-analysis of published

series found on multivariate analysis that tumor size

less than 3 cm and a surgical approach (in comparison

to a percutaneous approach) were associated with

fewer local recurrences.

2 Answers

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  • Anonymous
    1 decade ago
    Favorite Answer

    好處和併發症

    射頻腫瘤滅除術(RFA)的好處是可以局部破壞腫瘤,死亡率及病發率均很低。這對於不能切除肝臟轉移的病人很重要。病人可以即日或兩天內出院。Siperstein等發現手術後一星期生活質素參數就可以返回基線。一個根據95個己公布的調查所作的後設分析顯示RFA的併發症發生率為8.9%。最常見的併發症為腹部出血(1.6%)、腹部感染(1.1%)、及膽管損傷(1.0%)。RFA的術後死亡率實際上是零,由0%到0.5%。但RFA於局部復發有很高程度的關連。復發率在手術方面來說由1.8%到12%,而經皮的方法可高達40%。Solbiati等發現96%的局布復發發生在十二個月內。RFA術後的新肝臟轉移為1.8%到12%。這些數字顯示首次接受RFA資料的復發風險較高。對己公布的多元分析所作的後設分析顯示腫瘤大小小於 三厘米 及以手術治療的(相對於經皮治療)局部復發的機會較少。

    這是今天我在香港南華早報看一則有關RFA的新聞:

    Former legislator Lam Kui-chun, a doctor,

    attended a Medical Council hearing yesterday for alleged professional

    misconduct stemming from the death of a 68-year-old patient who died after radiowave therapy. Dr

    Lam allegedly failed to advise his patient, Lo Ti, who had a liver tumour, of

    his lack of experience with radio frequency ablation

    (RFA) treatment and of the risks it involved, according to assertions

    being considered by the council. Lo died in Queen Mary Hospital 15 days after

    receiving a second round of RFA treatment in November 2001 in a procedure overseen by Dr Lam at Central Hospital . Lo first received the

    treatment in June that year.

    大意是:一前立法局議員就其專業失當接受醫學會研訊,因為他2001年為一68歲肝腫瘤病人進行兩次RFA,但未告知手術的危險性,及他對此手術沒有經驗.病人15日後死亡.

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    6 years ago

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