[1]侯明远,李一兵,杜贞华,等.结直肠癌肺寡转移瘤经皮消融治疗进展[J].介入放射学杂志,2025,34(09):1023-1029.[doi:10.3969/j.issn.1008-794X.2025.09.020]
　HOU Mingyuan,LI Yibing,DU Zhenhua,et al.Advances in percutaneous ablation for pulmonary oligometastases from colorectal cancer[J].J Intervent Med,2025,34(09):1023-1029.[doi:10.3969/j.issn.1008-794X.2025.09.020]
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结直肠癌肺寡转移瘤经皮消融治疗进展()

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

卷:
34
期数:
2025年09
页码:
1023-1029
栏目:
综述
出版日期:
2025-09-25

文章信息/Info

Title:
Advances in percutaneous ablation for pulmonary oligometastases from colorectal cancer
文章编号:
1008-794X(2025)-009-1023-07
作者:
侯明远;  李一兵;  杜贞华;  王志龙;  左太阳
261053 山东潍坊 山东第二医科大学医学影像学院(侯明远、李一兵); 山东第一医科大学附属中心医院肿瘤介入科(杜贞华、王志龙、左太阳); 曲阜市中医院医学影像科(侯明远)
Author(s):
HOU Mingyuan; LI Yibing; DU Zhenhua; WANG Zhilong; ZUO Taiyang.
School of Medical Imaging,Shandong Second Medical University,Weifang,Shandong Province 261053,China
关键词:
结直肠癌;  肺转移瘤;  寡转移;  经皮消融
分类号:
R735.3
DOI:
10.3969/j.issn.1008-794X.2025.09.020
文献标志码:
A
摘要:
结直肠癌(CRC)是全球最常见的恶性肿瘤之一,最常转移到肝和肺。CRC肺寡转移瘤的局部治疗在病程中具有重要的地位,有时候是患者能否达到无疾病状态的关键。手术是CRC肺寡转移瘤的首选治疗方法,但由于部分患者因身体条件或解剖位置等限制无法接受手术,经皮消融治疗作为一种重要的外科替代手段,因其微创、可重复性强、能最大程度保留肺实质和肺功能,以及治愈新发或复发肺转移瘤的潜力,近年来应用日益增多。经皮消融技术主要包括射频消融(RFA)、微波消融(MWA)和冷冻消融(CA)等。RFA通过高频电流产生热效应,操作简便,适用范围广; MWA利用微波高效加热,能量分布均匀,适用于较大病灶; CA采用反复冻融循环破坏肿瘤,特别适用于邻近重要结构的病灶。此外,经皮消融还可与手术、药物等联合应用于CRC肺寡转移瘤,具有协同效应。该文对CRC肺寡转移瘤治疗的重要性、各种经皮消融手段在疗效、预后及其影响因素等方面的应用、消融联合其他治疗的应用进展进行综述。

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(收稿日期:2024-09-05)

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备注/Memo

备注/Memo:
基金项目: 山东省医药卫生科技发展计划项目(202209040398); 吴阶平医学基金会临床科研专项资助基金资助项目(320.6750.2021-02-90); 济南市科技局临床医学科技创新计划项目(202430011); 北京陈菊梅公益基金会临床研究专项(L202570182)
通信作者: 左太阳 E-mail:zuotaiyang001@163.com
更新日期/Last Update: 2025-09-25