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| Study on the Incidence and Influencing Factors of Intrahepatic Infection after Radiofrequency Ablation in Patients with Liver Tumors |
| WU Fengqing, WANG Xiuyun |
| West China Hospital of Sichuan University, Sichuan Chengdu 610041, China |
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Abstract Objective: To investigate the related factors of liver infection after radiofrequency ablation in patients with liver cancer. Methods: 140 cases of intrahepatic tumors in our hospital from March 2013 to January 2017 were selected and treated by radiofrequency catheter ablation. The incidence of postoperative intrahepatic infection was observed and recorded. The radiofrequency The incidence of intrahepatic infection after ablation related factors were statistically analyzed. Results: Univariate analysis showed that the type of tumor, the number of tumors, the type of abdominal surgery and RFA were closely related to the occurrence of intrahepatic infection after RFA in patients with liver cancer (P <0.05), age, gender, Child-Pug grade, There was no significant correlation between antimicrobial prophylaxis and intrahepatic infection after hepatic tumor RFA (P>0.05). Multivariate analysis showed that the type of tumor, the number of tumors, the type of abdominal surgery and the RFA method all affected the RFA treatment After the occurrence of intrahepatic infection of the key factors (P<0.05). Conclusion: The type of tumor, the number of tumors, the history of previous abdominal surgery, and the modalities of RFA are the key factors that influence the development of intrahepatic infection in patients with hepatic tumors after radiofrequency ablation. In patients undergoing RFA, preoperative evaluation should be strengthened and necessary Preoperative anti-infective therapy can be given to patients in order to reduce the risk of postoperative intrahepatic infection, improve patient prognosis.
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[1] 孙阿妮,刘燕,于凌波.肝脏肿瘤患者射频消融术后肝内感染的危险因素分析[J].中华医院感染学杂志,2015,25(21):4947~4948,4951.
[2] 李为民,王荣光,黄冬雁,等.低温等离子射频消融术治疗喉部恶性肿瘤的临床疗效[J].中国老年学杂志,2015,35(6):1449~1451.
[3] Kan X, Zhang Y, Zheng C, et al. Stress test of contrast-enhanced US with phenylephrine in a rabbit VX2 liver tumor model: differentiating benign periablational enhancement from residual tumor after radiofrequency ablation[J].VascIntervRadiol,2016, 27(7): 1077~1085.
[4] Decrescenzo A J, Buteau A F, Schepp E R, et al. Cutaneous atypical mycobacterial infection with mycobacterium fortuitum arising after endovenous radiofrequency ablation[J]. JAAD Case Rep,2016, 2(6): 451~453.
[5] Iida H, Aihara T, Ikuta S, et al. Risk of abscess formation after liver tumor radiofrequency ablation: a review of 8 cases wtih a history of enterobiliary anastomosis[J]. Hepatogastroenterology,2014, 61(135): 1867~1870.
[6] Rossi S, Viera F T, Ghittoni G, et al. Radiofrequency ablation of pancreatic neuroendocrine tumors: a pilot study of feasibility, efficacy, and safety[J]. Pancreas,2014, 43(6): 938~945.
[7] 侯继野,姜杨,董延龙,等.肝脏肿瘤患者射频消融术后感染相关并发症及其临床分析[J].中华医院感染学杂志,2016,26(22):5163~5165.
[8] Tajiri K, Baba H, Kawai K, et al. Neutrophil-to-lymphocyte ratio predicts recurrence after radiofrequency ablation in hepatitis B virus infection[J].GastroenterolHepatol,2016, 31(7): 1291~1299.
[9] 张宇,周文蓉,张晓敏,等.冷循环射频消融术联合肝动脉栓塞治疗肝脏肿瘤的临床研究[J].实用癌症杂志,2014,30(1):72~74. |
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2018, Vol. 24 
