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Abstract：
Objective: To determine the cause and high-risk factors for the development of intestinal fistulas (IFs) after ultrasound-guided microwave ablation (MA) of abdominopelvic lesions, and to identify effective prophylactic and therapeutic actions. Methods: Clinical data were collected from patients with an IF after ultrasound-guided MA of abdominopelvic lesions in our hospital from January 1, 2010 to December 31, 2018. The cause, diagnosis, and treatment of IFs in these patients were analyzed. Results: Among 8,969 patients who underwent ultrasound-guided MA of abdominopelvic lesions, eight patients developed IF after MA, Seven patients were discharged after being cured and one died. Conclusion: Abdominopelvic lesions are close to the intestines, so histories of surgery, radiotherapy, and abdominopelvic infection are high-risk factors for IF development after MA of these lesions. Surgical treatment should be provided as soon as an IF is identified.
摘要：
目的:探讨腹骨盆病变超声引导微波消融术(MA)后发生肠瘘(IFs)的原因及高危因素。并确定有效的预防和治疗措施。方法:收集2010年1月1日至2018年12月31日在我院行超声引导下腹骨盆病变MA后发生IF的患者的临床资料。原因，诊断,并对这些患者的IFs治疗进行分析。结果：在8,969例接受超声引导下腹骨盆病变MA的患者中，8例患者在MA后出现IF，7名患者治愈后出院，1人死亡。结论:腹骨盆病变靠近肠道,所以手术史，放射治疗,腹肾盂感染是这些病变MA后发生IF的高危因素。一旦确定IF，应提供手术治疗。
