肝细胞癌微波消融术后迟发性膈疝1例报告

王晓栋; 张玉蓉; 朱晓宁; 郑丁; 汪静

doi:10.3969/j.issn.1001-5256.2022.08.029

肝细胞癌微波消融术后迟发性膈疝1例报告

DOI: 10.3969/j.issn.1001-5256.2022.08.029

西南医科大学附属中医医院肝胆病科，四川泸州 646000

基金项目:

四川省科学技术厅重大科技专项 (2019YFS0018);

泸州市人民政府-西南医科大学科技战略合作项目 (2019LZXNYDZ12);

西南医科大学附属中医医院国家中医临床研究基地建设单位科研项目 (HTCMSMU〔2020〕33);

西南医科大学-西南医科大学附属中医医院联合项目 (2020XYLH-037);

四川省中医药管理局项目 (2018QN047)

伦理学声明：本例报告已获得患者知情同意。

利益冲突声明：所有作者均声明不存在利益冲突。

作者贡献声明：王晓栋、张玉蓉负责课题设计，资料分析，撰写论文；朱晓宁、郑丁参与收集数据，修改论文；汪静负责拟定写作思路，指导撰写文章并最后定稿。

详细信息

通信作者:
汪静，lywj68@126.com

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出版历程
- 收稿日期: 2021-10-11
- 录用日期: 2021-11-12
- 出版日期: 2022-08-20

Late-onset diaphragmatic hernia after microwave ablation of hepatocellular carcinoma: A case report

Department of Hepatobiliary Diseases, The Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, Sichuan 646000, China

Research funding:

Major Science and Technology Project of Sichuan Provincial Science and Technology Department (2019YFS0018);

Luzhou Municipal People's Government-Southwest Medical University Science and Technology Strategic Cooperation Project (2019LZXNYDZ12);

National TCM Clinical Research Base Construction Unit Research Project of Affiliated Traditional Chinese Medicine Hospital, Southwest Medical University (HTCMSMU〔2020〕33);

Southwest Medical University-the Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University Joint Project (2020XYLH-037);

Sichuan Provincial Administration of Traditional Chinese Medicine Project (2018QN047)

More Information

Corresponding author: WANG Jing, lywj68@126.com(ORCID: 0000-0001-7283-909X)

摘要

- 癌, 肝细胞 /
- 导管消融术 /
- 疝, 横膈
- Carcinoma, Hepatocellular /
- Catheter Ablation /
- Hernia, Diaphragmatic

HTML全文

图 1 MRI检查结果

注：a，2018年5月门诊，S5与S8交界处占位(白色箭头)；b，2019年1月随访，S7占位(白色箭头)。

Figure 1. MRI images

下载: 全尺寸图片幻灯片

图 2 超声检查结果

注：a，术前；b，术中；c，术后。

Figure 2. Ultrasonic images

下载: 全尺寸图片幻灯片

图 3 2019年3月随访CT检查结果

注：未见膈疝影像学表现。

Figure 3. CT images in March 2019

下载: 全尺寸图片幻灯片

图 4 2019年4月14日CT检查结果

注：a，疝入胸腔的横结肠(白色箭头)；b，疝入的横结肠组织经过腹腔并压迫肝脏(白色箭头)；c，横结肠疝入右侧胸腔(白色箭头)。

Figure 4. CT images on April 14, 2019

下载: 全尺寸图片幻灯片

图 5 腹腔镜术中所见

注：横结肠经膈疝直接侵入右胸腔(白色圆圈)。

Figure 5. Laparoscopic surgery image

下载: 全尺寸图片幻灯片

图 6 复查影像学检查结果

注：a，2019年11月复查CT；b，2020年5月复查MRI；c，2021年8月复查MRI。

Figure 6. Images analysis of subsequent visit

下载: 全尺寸图片幻灯片

参考文献(15)

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