射频消融；_晚期肺癌；_临床疗效____

射频消融治疗晚期肺癌26例临床分析

http://www.100md.com 《新疆医科大学学报》 2007年第1期

射频消融；,晚期肺癌；,临床疗效,,射频消融；,晚期肺癌；,临床疗效,关键词：射频消融；晚期肺癌；临床疗效,1资料与方法,2结果,3讨论,参考文献:

     摘要: 目的：探讨射频消融治疗晚期肺癌的临床疗效及安全性。方法：对26例原发性晚期肺癌和肺转移癌病人，在局麻下进行射频消融治疗，20例在C臂机下定位，5例通过CT扫描定位，1例在胸腔镜直视下进行。消融温度58～90℃，治疗时间16～286 min。结果：26例病人共进行29次射频消融，其中3例进行2次。术中12例伴有不同程度的疼痛，8例出现不同程度的咳嗽、咳血。治疗后6例出现不同程度的肺水肿，发生气胸3例，血胸1例，住院治疗期间全组无死亡病例。结论：经皮射频消融术治疗晚期肺癌，损伤小，安全，病人易于接受，治疗有效，远期效果需进一步观察。

    关键词：射频消融；晚期肺癌；临床疗效

    Clinical application of percutaneous radiofrequency ablation used in treatment of advanced lung cancer patients

    Wang Hongbin

    (Department of Cardiac Surgery, First Affiliated Hospital, Xinjiang Medical University, Urumqi 830054, China)

    Abstruct: Objective: To discuss the efficacy and safety of advanced lung cancer patients treated with radiofrequency ablation (RFA). Methods: Twentysix advanced lung cancer patients were treated with RFA in local anaesthesia. 20 of them punctured induced under Carm Xray; 5 under CT scan, 1 through VATS. RFA temperature from 58℃ to 90℃. Procedure time from 16 minutes to 286 minutes. Results: Twentynine RFA were done in 26 patients, 3 of them done twice. 12 patients appeared pain during RFA, 8 of them with cough and hemoptysis separately. After RFA, 6 of them presented with pulmonary edema. Pneumothorax in 3 patients, pulmonary hemorrhage in one. No patients died in the hospital. Conclusion: Percutaneous radiofrequency ablation was safe to treat advanced lung cancer. Its long term result need to be studied further. ......

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