[1]朱良明,李前生,蔺玉霞,等.经皮微波热凝固疗法治疗周围型肺癌的近期疗效评价(附16例报告)[J].中国微创外科杂志,2006,06(2):115-116.
　ZhuLiangming,LiQiansheng,Lin Yuxia,et al.Percutaneous microwave coagulation therapy for peripheral lung cancer: A short-term evaluation of 16 cases[J].Chinese Journal of Minimally Invasive Surgery,2006,06(2):115-116.
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经皮微波热凝固疗法治疗周围型肺癌的近期疗效评价(附16例报告)()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
06
期数:
2006年2期
页码:
115-116
栏目:
出版日期:
2006-02-20

文章信息/Info

Title:
Percutaneous microwave coagulation therapy for peripheral lung cancer: A short-term evaluation of 16 cases
作者:
朱良明; 李前生; 蔺玉霞; 肖伟
济南市中心医院胸外科,济南,250013
Author(s):
ZhuLiangming;  LiQiansheng;  Lin Yuxia;  et al.
Department of Thoracic Surgery, Jinan Central Hospital, Jinan 250013, China
关键词:
肺肿瘤; 经皮微波热凝固
Keywords:
Lung neoplasm; 　Microwave coagulation
分类号:
R734.2
文献标志码:
A
摘要:
目的探讨经皮微波热凝固(percutaneous microwave coagulation therapy,PMCT)治疗周围型肺癌的临床疗效、影像学变化及不良反应.方法2003年8月～2004年10月我们在CT引导下PMCT治疗周围型肺癌16例(鳞癌9例,腺癌7例).经皮肺穿刺将针式微波天线穿刺到肿瘤内,以2 450 MHz的微波、功率为65～75 W每点加热3～5 min,根据肿瘤大小、形状选择1点或多点加热.结果手术时间15～60 min,平均35 min.术后3例发生气胸,6例发生少量胸腔积液.CR 1例,PR 4例,NC11例.16例随访3～15个月,平均9.5个月,肿瘤转移2例,死亡1例.结论PMCT治疗周围型肺癌对不能耐良开胸手术的病人是一种有一定疗效、微创、安全的新方法.
Abstract:
Objective　To evaluate the clinical effects, CT features and side-effects of percutaneousmicrowave coagulation therapy (PMCT) in the treatmentofperipheral lung cancer.　M ethods　CT-guided PMCTwas applied to 16 cases ofperipheral lung cancer from August2003 toOctober2004 in this hospita.l Pathological or cytological findings showed 9 cases of squamous carcinoma and 7 cases of adenocarcinoma. A needlemicrowave antenna was applied into the tumor percutaneously underCT guidance. In each emission ofmicrowave, the tumorwas ablatedwith a 2 450Hzmicrowave coagulation outputof65~75W for3~5 min. According to the size and shape of the tumor, single ormultiple ablation emission was selected.　Results　The operation time was 15~60 min (mean, 35min). Complete remission (CR) was achieved in 1 case, partial remission (PR) in 4 cases, and no changes (NC) in 11. Follow-up observations in the 16 cases for3~15 months (mean, 9·5 months) found 2 cases of tumormetastasis and 1 case ofdeath. Conclusions　Percutaneousmicrowave coagulation therapy is a safe, micro-invasive, and effective treatment for the management of peripheral lung cancer.

参考文献/References:

[1]殷晓煜,谢晓燕,吕明德,等.超声引导经皮复合热消融技术治疗中、大肝细胞癌.中华外科杂志,2004,42:1029-1032.
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[3]雷撼,沈寒放,张蔚东,等.微波组织凝固联合透热疗法治疗中心型肺癌对相关免疫指标的影响.第三军医大学学报,1999,21:200-202.

更新日期/Last Update: 2014-01-27