[1]王 云,蒋 婷,周裕祥,等.CT引导下经皮肺穿刺微波消融与冷冻消融治疗ⅠA期周围型肺癌效果和安全性对比[J].介入放射学杂志,2026,(09):1032-1037.[doi:10.3969/j.issn.1008-794X.2026.09.011]
　WANG Yun,JIANG Ting,ZHOU Yuxiang,et al.CT-guided percutaneous microwave ablation versus cryoablation for stage Ⅰ-A peripheral lung cancer:comparison of effectiveness and safety[J].J Intervent Med,2026,(09):1032-1037.[doi:10.3969/j.issn.1008-794X.2026.09.011]
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CT引导下经皮肺穿刺微波消融与冷冻消融治疗ⅠA期周围型肺癌效果和安全性对比()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2026年09
页码:
1032-1037
栏目:
临床研究
出版日期:
2026-09-10

文章信息/Info

Title:
CT-guided percutaneous microwave ablation versus cryoablation for stage Ⅰ-A peripheral lung cancer:comparison of effectiveness and safety
文章编号:
1008-794X(2026)-009-1032-06
作者:
王 云;  蒋 婷;  周裕祥;  杨 芳;  王黔宇;  李桂凤;  林乐涛;  廖江荣
563003 贵州遵义 贵州航天医院呼吸与危重症医学科; 中山大学肿瘤防治中心微创介入治疗科
Author(s):
WANG Yun1; JIANG Ting1; ZHOU Yuxiang1; YANG Fang1; WANG Qianyu1; LI Guifeng1; LIN Letao2; LIAO Jiangrong1.
1Department of Respiratory and Critical Care Medicine,Guizhou Aerospace Hospital,Zunyi,Guizhou Province 563003,China; 2Department of Minimally Invasive Interventional Therapy,Sun Yat-sen University Cancer Center,Guangzhou,Guangdong Province 510030,China
关键词:
CT引导;  经皮肺穿刺;  周围型肺癌;  微波消融;  冷冻消融
分类号:
R734.2
DOI:
10.3969/j.issn.1008-794X.2026.09.011
文献标志码:
B
摘要:
目的 比较CT引导下经皮穿刺微波消融与冷冻消融治疗肿瘤原发灶-淋巴结-远处转移分期ⅠA期周围型肺癌的效果和安全性。方法 回顾性分析2018年5月至2022年9月贵州航天医院收治的40例经病理确诊为TNM分期ⅠA期周围型肺癌患者临床及随访资料。根据实际实施消融技术将患者分为MWA组和CRA组。所有患者消融治疗均获成功,并完成满3年随访。采用Kaplan-Meier法分析时间-事件终点肿瘤局部控制率、无进展生存期,Log-Rank检验进行组间比较。卡方检验或Fisher精确检验比较组间消融相关并发症发生率。结果 MWA组、CRA组36个月累计局部控制率分别为80%、85%,PFS率分别为90%、85%,差异无统计学意义。MWA组、CRA组发生消融相关气胸分别为5例、4例,咯血分别为2例、1例,针道出血分别为4例、3例、胸腔积液分别为1例、2例,差异无统计学意义。结论 CT引导下经皮穿刺MWA与CRA治疗ⅠA期周围型肺癌均显示出良好效果和安全性。两种消融技术的局部控制率、PFS率及并发症发生率比较差异均无统计学意义,均可作为早期肺癌治疗手段。

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(收稿日期:2025-11-14)
(本文编辑:谷 珂)

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备注/Memo

备注/Memo:
基金项目: 贵州省卫生健康委科技项目(gzwkj 2024-108); 遵义市工业和科学技术局项目(遵市科人才{2024}9号)
通信作者: 廖江荣 E-mail:ljr3409@sina.com
林乐涛 E-mail:280706804@qq.com
更新日期/Last Update: 2026-09-25