结直肠癌肝转移的微波消融治疗  

Microwave ablation for colorectal liver metastases

作　　者：陆文[1] 吴盼盼[1] 钱国军[1] 

机构地区：[1]第二军医大学东方肝胆外科医院微创科,上海200438

出　　处：《中华肝胆外科杂志》2014年第9期694-696,共3页Chinese Journal of Hepatobiliary Surgery

摘　　要：结直肠癌肝转移（CRLM）是结直肠癌患者主要死亡原因之一.目前,绝大部分CRLM患者没有根治性手术切除的机会.然而,热消融技术的广泛运用,使得这些患者能得到近似手术治疗的效果.热消融治疗主要包括射频消融（radiofrequency ablation,RFA）和微波消融（microwaveablation,MWA）.目前RFA治疗CRLM的安全性及疗效较为肯定,但MWA治疗CRLM的研究数据仍然不充分,难以评判其疗效.本文就MWA治疗CRLM的机制、疗效、并发症等进行综述.Colorectal liver metastases （CRLM） are one of the main causes of death among the patients with eolorectal cancer, yet most patients with CRLM are unable to get radical resection. Fortunately, thermal ablation can yield long-term sur- vival efficacy in this population of CRLM patients. Currently, thermal ablation is the first-line treatment among other ablation technologies, including radiofreqaency ablation and microwave ablation （MWA）. However, recent advancements in microwave ablation techniques increase consideration of this method in the treatment of CRLM , such as ： reliable, fast, efficient and rarely affected by heat-sink effect. This article aims to review the mechanism, efficacy, complications of MWA in treating CRLM.

关 键 词：结直肠癌肝转移 微波消融 

分 类 号：R735.34[医药卫生—肿瘤]