| 张晶,张肖,张啸波,何晓锋,张欣,魏颖恬,李竞,肖越勇.CT引导下多种微创技术联合治疗肺癌[J].中国介入影像与治疗学,2019,16(4):195-198 |
| CT引导下多种微创技术联合治疗肺癌 |
| Combination of CT-guided multiple minimally invasive techniques for treatment of lung cancer |
| 投稿时间：2018-08-13 修订日期：2018-12-28 |
| DOI：10.13929/j.1672-8475.201808015 |
| 中文关键词: 肺肿瘤 体层摄影术,X线计算机 导管消融术 碘同位素 放射性粒子植入 |
| 英文关键词:lung neoplasms tomography, X-ray computed catheter ablation iodine isotopes radioactive particles implantation |
| 基金项目:北京市科技新星计划（Z181100006218026）。 |
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| 中文摘要: |
| 目的 探讨CT引导下多种微创技术联合治疗肺癌的有效性及安全性。方法 对34例原发肺癌患者共78个病灶行CT引导下物理消融（39个病灶）、化学消融（14个病灶）和/或放射性粒子植入（25个病灶），观察治疗效果及并发症。结果 对34例患者均成功实施微创手术。术中出现少量咯血5例、轻中度疼痛4例，4例术后出现气胸。术中及术后患者均无大出血、支气管胸膜瘘等严重并发症发生。术后随访复查CT显示，69个（69/78，88.46%）病灶疗效显著，5个（5/78，6.41%）病灶稳定，4个（4/78，5.13%）病灶进展。结论 CT引导下多种微创技术联合治疗肺癌效果确切，且安全性好。 |
| 英文摘要: |
| Objective To investigate the safety and efficacy of combination of CT-guided multiple minimally invasive techniques in the treatment of lung cancer. Methods All 34 patients with lung cancer (78 lesions) were treated with CT-guided physical ablation (39 lesions), chemical ablation (14 lesions) and/or 125I seed implantation (25 lesions). The efficacy and safety of the treatment were evaluated. Results CT-guided minimally invasive treatments were successfully performed in all 34 patients. During operation, a small amount of hemoptysis occurred in 5 patients, while mild to moderate pain were observed in 4 patients. Pneumothorax occurred in 4 patients after operation. No serious complication,such as massive hemorrhage or bronchial pleural fistula occurred intraoperation nor postoperation. According to the follow-up with CT, there were 69 (69/78, 88.46%) significantly effective lesions, 5 (5/78, 6.41%) stable lesions and 4 (4/78, 5.13%) advanced lesions. Conclusion Combination of CT-guided multiple minimally invasive techniques are safe and effective for treating lung tumor. |
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