| 陈丽梅,刘广健,邓艳红,黄美近,文艳玲,汪建平.结直肠癌肝转移瘤热消融治疗国际专家共识分享[J].中国介入影像与治疗学,2018,15(6):323-326 |
| 结直肠癌肝转移瘤热消融治疗国际专家共识分享 |
| Consensus from international experts for thermal ablation of colorectal liver metastasis |
| 投稿时间：2017-10-22 修订日期：2017-12-24 |
| DOI：10.13929/j.1672-8475.201801037 |
| 中文关键词: 结直肠肿瘤 肿瘤转移 消融技术 热消融 |
| 英文关键词:Colorectal neoplasms Neoplasm metastasis Ablation techniques Thermal ablation |
| 基金项目: |
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| 中文摘要: |
| 肝转移是结直肠癌致死的最主要原因，手术切除是其首选治疗方式。然而，临床可手术切除的肝转移瘤仅占全部肝转移瘤的10%~25%，对不可切除的肝转移瘤通常采用系统化疗和/或局部消融治疗。近年来热消融技术的治疗效率和安全性日益提高，术后患者5年生存率高于单纯化疗。2013年国际消融专家组发布了结直肠癌肝转移瘤热消融治疗国际专家共识，基于射频消融相关应用的长期随访文献，总结热消融治疗在结直肠癌肝转移瘤治疗中的具体推荐及相关适应证。本文对该共识的主要内容进行介绍与分享。 |
| 英文摘要: |
| Liver metastasis is the most common cause of death for patients with colorectal cancer. Surgical resection is the first choice for colorectal cancer liver metastasis (CRLMs), but only 10%-25% of them are resectable. Patients with unresectable CRLMs are usually treated with systemic chemotherapy and/or local ablative therapies as alternative options. The safety and efficiency of thermal ablation therapies have been improved in recent years. The 5-year survival rate of patients underwent thermal ablation is higher than that of patients underwent chemotherapy for treating CRLMs. A consensus for thermal ablation of colorectal liver metastasis was provided by international experts panel on 2013. The recommendations and indications of thermal ablation for CRLMs were considered and documented according to the literature review based on radiofrequency ablation with long-term follow-up. The main content of the consensus from international experts for thermal ablation of colorectal liver metastasis were reviewed in this article. |
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