CT引导下肺癌射频消融术疗效评估及并发症分析
| 作者: |
1刘磊,
1张毅,
1支修益,
1刘宝东
1 首都医科大学胸外科，首都医科大学肺癌诊疗中心，北京 100053 |
| 通讯: |
张毅
Email: steven9130@sina.com |
| DOI: | 10.3978/j.issn.2095-6959.2015.07.033 |
摘要
目的：探索分析CT引导下肺癌射频消融术有效性及安全性。方法：选择从2013年3月到2014年9月在我院行肺癌射频消融术，肺癌患者60例，术后6个月随访，比较CT下肿物影像学改变，同时记录并发症情况。结果：60例患者在射频消融术后6个月，42例肿块的体积缩小，10例病灶大小无明显改变，内部出现空洞性坏死表现，8例未见明显变化。术后肿物CT值较术前显著减低(P=0.012)。结论：CT引导下射频消融术对肺部肿瘤治疗存在疗效，并发症发生率较低，是一种较安全、有效的肺癌治疗手段。
关键词：
肺癌
射频消融
并发症
Curative effect of radiofrequency ablation under CT guided lung cancer assessment and analysis of complications
CorrespondingAuthor: ZHANG Yi Email: steven9130@sina.com
DOI: 10.3978/j.issn.2095-6959.2015.07.033
Abstract
Objective: To research and analysis effectiveness and security of radiofrequency ablation on lung cancer under CT navigation. Methods: Choose 60 patients with lung cancer who were admitted to authors’ hospital from March 2013 to September 2014. After 6 months’ follow-up, research and compare CT image-change of tumor with record of complications. Results: After 6 months, the tumor size of 42 cases shrinked, tumor size in 10 cases had no obvious change but necrosis cavum appeared, 8 cases had no change. The average CT values decreased obviously when compared to the ones before RFA (P=0.012). Conclusion: RFA under CT navigation is an effective and secure way of treat lung cancer, which has high effective rate and low incidence rate of complications.