[1]王忠敏,陈克敏,贡桔,等.CT引导下射频消融治疗肺部恶性肿瘤的临床应用[J].介入放射学杂志,2009,(05):335.
　WANG Zhong-min,CHEN Ke-min,GONG Ju,et al.Clinical application of CT-guided radiofrequency ablation for the treatment of pulmonary malignancies[J].journal interventional radiology,2009,(05):335.
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CT引导下射频消融治疗肺部恶性肿瘤的临床应用()

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

卷:
期数:
2009年05期
页码:
335
栏目:
非血管介入
出版日期:
2009-05-15

文章信息/Info

Title:
Clinical application of CT-guided radiofrequency ablation for the treatment of pulmonary malignancies
作者:
王忠敏; 陈克敏; 贡桔; 等
２０００２０上海交通大学医学院瑞金医院卢湾分院放射科（王忠敏、贡桔、郑云峰、张丽云）；瑞金医院放射科（陈克敏）
Author(s):
WANG Zhong-min; CHEN Ke-min; GONG Ju; ZHENG Yun-feng; ZHANG Li-yun．
Department of Radiology，Luwan Branch of Ruijin Hospital，School of Medicine，Shanghai Jiaotong University，Shanghai２０００２０，China
关键词:
肺恶性肿瘤; 射频消融; CT引导; 介入治疗
分类号:
R７３０.５；R７３４.２
文献标志码:
A
摘要:
目的探讨CT引导下射频消融（RFA）治疗肺恶性肿瘤的疗效、不良反应和安全性。方法对２１例肺恶性肿瘤患者的３１个瘤体进行CT引导下RFA治疗，对其中１４个瘤体进行２次以上重复消融。术前常规CT引导下经皮穿刺活检或支气管镜检查获取病理学诊断，１０例为非小细胞肺癌，其中鳞癌５例，腺癌４例，未分化癌１例，转移性肺癌１１例。瘤体直径＜５cm的肿瘤２５个（１５例），５～８cm的肿瘤６个（６例）。所有患者术后３、６个月后行增强CT检查评价肿瘤疗效。结果３１个肿瘤均顺利完成RFA治疗。肿瘤疗效评估显示：CR５个，PR１７个，NC５个，PD４个，总有效率（CR＋PR）为７１．０％。术中并发少量气胸８例，液气胸１例。１３例术后见暗红色痰，６例术后疼痛，１３例术后轻度发热。全部患者未出现其他严重并发症。平均住院时间为５～７d。结论CT引导下经皮穿刺RFA治疗肺部恶性肿瘤，近期疗效确切，是一种安全、有效、并发症较少的微创治疗方法

参考文献/References:

［１］Fernando HC，De Hoyos A，Landreneau RJ，et al．Radiofre-quency ablation for the treatment of non-small lung cancer in marginal surgical candidates［J］．J Thorac Cardiovasc Surg，２００５，１２９：６３９-６４４．
［２］Herrera LJ，Fernando HC，Perry Y，et al．Radiofrequency abla

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备注/Memo

备注/Memo:
收稿日期：２００９-０２-２５
更新日期/Last Update: 2009-05-15