射频消融术治疗非小细胞肺癌近期疗效观察  

Clinical curative effect of radiofrequency ablation for non-small cell lung cancer

作　　者：宋士军[1] 赵红丹[1] 

机构地区：[1]新乡医学院第三附属医院肿瘤科,河南新乡453003

出　　处：《新乡医学院学报》2016年第8期718-720,共3页Journal of Xinxiang Medical University

摘　　要：目的探讨CT引导下射频消融术治疗非小细胞肺癌的有效性及安全性。方法选择新乡医学院第三附属医院CT引导下行射频消融术治疗的86例非小细胞肺癌患者为研究对象,在术后3、6个月对患者进行随访,比较治疗前后瘤体大小及密度,同时记录术后并发症发生情况。结果 86例患者在射频消融术后3、6个月与术前比较,肿瘤面积明显减小,肿物CT值明显降低(P<0.05);术后6个月较术后3个月时肿瘤面积明显减小、肿物CT值明显下降(P<0.05)。患者术后并发症主要有发热13例(15.11%),气胸9例(10.46%),咯血6例(6.97%),胸痛3例(3.49%),肺部感染4例(4.65%)。结论 CT引导下射频消融术治疗肺部肿瘤疗效确切,安全性好,并发症发生率较低。Objective To research the effectiveness and safety of CT-guided radiofrequency ablation （RFA） for treat- ment of non-small cell lung cancer. Methods Eighty-six patients with non-small cell lung cancer who underwent CT-guided RFA in the Third Affiliated Hospital of Xinxiang Medical University were selected as study objective. The patients were fol- lowed-up at 3,6 months after operation;the size and density of tumor were compared before and after operation. The incidence of complication was recorded. Results Among the 86 patients, the tumor area at 3,6 months after RFA was significantly smal- ler than that before treatment（ P 〈 0. 05 ） ; and the CT value of tumor was decreased （ P 〈 0.05 ）. The tumor area at 6 months after RFA was significantly smaller than that at 3 months （ P 〈 0.05 ） ; and the CT value of tumor was decreased （ P 〈 0. 05 ）. The main complication after operation was fever（ 15.11% , 13/86 ）, pneumothorax （ 10.46% , 9/86 ）, hemoptysis （ 6.97 % , 6/ 86 ）, chest pain （ 3.49% ,3/86） and pulmonary infection （4.65 % ,4/86 ）. Conclusion CT-guided RFA has a good effective- ness and safety in treatment of lung cancer;and has low incidence of complication.

关 键 词：非小细胞肺癌 射频消融 并发症 

分 类 号：R734.2[医药卫生—肿瘤]