[1]李向阳,穆 峰,陈继冰,等.CT引导下经皮冷冻消融治疗肺磨玻璃结节的研究[J].介入放射学杂志,2021,30(10):1072-1076.
 LI Xiangyang,MU Feng,CHEN Jibing,et al.CT-guided percutaneous cryoablation for the treatment of pulmonary ground- glass nodules[J].journal interventional radiology,2021,30(10):1072-1076.
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CT引导下经皮冷冻消融治疗肺磨玻璃结节的研究()

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

卷:
30
期数:
2021年10
页码:
1072-1076
栏目:
讲座
出版日期:
2021-10-25

文章信息/Info

Title:
CT-guided percutaneous cryoablation for the treatment of pulmonary ground- glass nodules
作者:
李向阳 穆 峰 陈继冰 马洋洋 牛立志
Author(s):
LI Xiangyang MU Feng CHEN Jibing MA Yangyang NIU Lizhi.
Central Laboratory, Affiliated Fuda Cancer Hospital of Jinan University, Guangzhou, Guangdong Province 510665, China
关键词:
【关键词】 冷冻消融 穿刺活检 肺磨玻璃结节 肺癌
文献标志码:
A
摘要:
【摘要】 目的 评价CT引导下经皮冷冻消融治疗肺磨玻璃结节的安全性和可行性。方法 2016年6月至2019年11月,28例肺磨玻璃结节患者中有13例为既往肺癌患者, 15例为疑是肺肿瘤患者,共35枚结节,平均大小1.04 cm。患者接受了CT引导下同步穿刺活检及经皮冷冻消融,评估冷冻消融后的不良事件、肺功能和治疗效果。使用SPSS 20.0进行统计分析。 结果 所有患者均未出现严重并发症,10例(35.7%)患者出现气胸,9例(32.1%)出现痰中带血,对症治疗后所有症状均得到缓解,术后1个月肺功能恢复>95%。接受随访36个月的CT断层扫描中,所有患者的肺磨玻璃结节均被成功消融,无复发。结论 CT引导下经皮冷冻消融是治疗肺磨玻璃结节是可行、安全、有效的。

参考文献/References:

[1] 俞文峰, 安 舟, 王志田, 等. CT引导下经皮肺穿刺对于实性肺小结节的诊断:单中心经验总结[J]. 中国肺癌杂志, 2020, 23: 414- 418.
[2] Silva M, Pastorino U, Sverzellati N. Lung cancer screening with low- dose CT in Europe: strength and weakness of diverse independent screening trials[J]. Clin Radiol, 2017, 72: 389- 400.
[3] Lee KH, Goo JM, Park SJ, et al. Correlation between the size of the solid component on thin- section CT and the invasive component on pathology in small lung adenocarcinomas manifesting as ground- glass nodules[J]. J Thorac Oncol, 2014, 9: 74- 82.
[4] Lococo F, Cusumano G, De Filippis AF, et al. Current practices in the management of pulmonary ground- glass opacities: a survey of SICT members[J]. Ann Thorac Surg, 2018, 106: 1504- 1511.
[5] Chae HD, Park CM, Park SJ, et al. Computerized texture analysis of persistent part- solid ground- glass nodules: differentiation of preinvasive lesions from invasive pulmonary adenocarcinomas [J]. Radiology, 2014, 273: 285- 293.
[6] Zhang Y, Shen Y, Qiang JW, et al. HRCT features distinguishing pre- invasive from invasive pulmonary adenocarcinomas appearing as ground- glass nodules[J]. Eur Radiol, 2016, 26: 2921- 2928.
[7] 李亚丹, 周志刚, 高剑波, 等. 全自动活检枪在CT引导下肺亚厘米结节穿刺活检中的应用[J]. 介入放射学杂志, 2015, 24: 1082- 1085.
[8] 肖越勇, 吴 斌, 张 肖,等. CT 引导下经皮穿刺适形冷冻消融治疗肺癌的临床分析[J]. 中华放射学杂志, 2010, 44: 185- 189.
[9] Niu L, Li J, Chen J, et al. Comparison of dual- and triple- freeze protocols for pulmonary cryoablation in a Tibet pig model[J]. Cryobiology, 2012, 64: 245- 249.
[10] Howington JA, Blum MG, Chang AC, et al. Treatment of stage I and Ⅱ non- small cell lung cancer: diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence- based clinical practice guidelines[J]. Chest, 2013, 143: e278S- e313S.
[11] Niu L, Xu K, Mu F. Cryosurgery for lung cancer[J]. J Thorac Dis, 2012, 4: 408- 419.
[12] Niu L, Zhou L, Xu K, et al. Combination of cryosurgery and iodine- 125 seeds brachytherapy for lung cancer[J]. J Thorac Dis, 2012, 4: 504- 507.
[13] Inoue M, Nakatsuka S, Yashiro H, et al. Percutaneous cryoablation of lung tumors: feasibility and safety[J]. J Vasc Interv Radiol, 2012, 23: 295- 302.
[14] Chen PH, Chang KM, Tseng WC, et al. Invasiveness and surgical timing evaluation by clinical features of ground- glass opacity nodules in lung cancers[J]. Thorac Cancer, 2019, 10:2133- 2141.
[15] 吕依侣, 叶 波. 肺部亚厘米结节诊疗进展[J]. 中国肺癌杂志, 2020, 23: 365- 370.
[16] Duann CW, Hung JJ, Hsu PK, et al. Surgical outcomes in lung cancer presenting as ground- glass opacities of 3 cm or less: a review of 5 years’ experience[J]. J Chin Med Assoc, 2013, 76: 693- 697.
[17] de Baere T, Tselikas L, Woodrum D, et al. Evaluating cryoablation of metastatic lung tumors in patients- safety and efficacy: the ECLIPSE trial- interim analysis at 1 year[J]. J Thorac Oncol, 2015, 10: 1468- 1474.
[18] Kim KY, Jin GY, Han YM, et al. Cryoablation of a small pulmonary nodule with pure ground- glass opacity: a case report [J]. Korean J Radiol, 2015, 16: 657- 661.
[19] Liu S, Zhu X, Qin Z, et al. Computed tomography- guided percutaneous cryoablation for lung ground- glass opacity: a pilot study[J]. J Cancer Res Ther, 2019, 15: 370- 374.
[20] Shimizu K, Ikeda N, Tsuboi M, et al. Percutaneous CT- guided fine needle aspiration for lung cancer smaller than 2 cm and revealed by ground- glass opacity at CT[J]. Lung Cancer, 2006, 51: 173- 179.
[21] Kodama H, Yamakado K, Hasegawa T, et al. Radiofrequency ablation for ground- glass opacity- dominant lung adenocarcinoma [J]. J Vasc Interv Radiol, 2014, 25: 333- 339.
[22] Wolf FJ, Grand DJ, Machan JT, et al. Microwave ablation of lung malignancies: effectiveness, CT findings, and safety in 50 patients[J]. Radiology, 2008, 247: 871- 879.
[23] Sachdeva M, Ronaghi R, Mills PK, et al. Complications and yield of computed tomography- guided transthoracic core needle biopsy of lung nodules at a high- volume academic center in an endemic coccidioidomycosis area[J]. Lung, 2016, 194: 379- 385.
[24] Lee HY, Lee IJ. Assessment of independent risk factors of developing pneumothorax during percutaneous core needle lung biopsy: focus on lesion depth[J]. Iran J Radiol, 2016, 13: e30929.
[25] Otto S,Mensel B,Friedrich N,et al. Predictors of technical success and rate of complications of image- guided percutaneous trans-thoracic lung needle biopsy of pulmonary tumors[J]. PLoS One, 2015, 10: e0124947.
[26] Yin ZY, Lin ZY, Wang Y, et al. Risk factors of complications after CT- guided percutaneous needle biopsy of lumps near pulmonary hilum[J]. J Huazhong Univ Sci Technolog Med Sci, 2015, 35: 278- 282.

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备注/Memo

备注/Memo:
(收稿日期:2020- 06- 09)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2021-10-15