CT引导下肺癌射频消融术疗效评估与并发症分析.PDFVIP

临床与病理杂志 2015, 35(7) 1376 J Clin Path ol R e s doi: 10.3978/j.issn.2095-6959.2015.07.033 View this article at: /10.3978/j.issn.2095-6959.2015.07.033 CT引导下肺癌射频消融术疗效评估及并发症分析 刘磊，张毅，支修益，刘宝东 (首都医科大学胸外科，首都医科大学肺癌诊疗中心，北京 100053) [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 LIU Lei, ZHANG Yi, ZHI Xiuyi, LIU Baodong (Department of Thoracic Surgery, Beijing Xuanwu Hospital, Capital Medical University Lung Cancer Treatment Center , Beijing 100053, China) 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