目的探讨氩氦刀冷冻消融联合动脉化疗栓塞术(TACE)治疗肾上腺恶性肿瘤的安全性及疗效。方法 2006年6月至2010年9月对16例肾上腺恶性肿瘤患者行氩氦刀联合TACE治疗,并用增强CT评价其疗效。结果氩氦刀联合TACE治疗后1个月局部有效率为100%,缓解率为93.75%,中位生存时间为19.2个月,无严重并发症发生。结论采用氩氦刀联合TACE治疗肾上腺恶性肿瘤安全、有效,值得临床推广应用。
Objective To evaluate the safety and efficacy of argon- helium cryoablation combined with transeatheter arterial chemoembolization (TACE) in treating malignant adrenal neoplasms. Methods During the period from June 2006 to September 2010, sixteen patients with malignant adrenal neoplasms were treated with argon-helium cryoablation combined with TACE in authors' hospital. The therapeutic effect was evaluated with contrast- enhanced CT scanning and the clinical data were retrospectively analyzed. Results One month after the treatment of argon-helium cryoablation combined with TACE, the local effect was 100% and remission rate was 93.75%. The median survival time was 19.2 months. No serious complications occurred. Conclusion For the treatment of malignant adrenal neoplasms, argon- helium cryoablation combined with TACE is safe and effective, therefore, this technique should be recommended in clinical practice.