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

作　　者：张晶[1] 张肖[1] 张啸波[1] 何晓锋[1] 张欣[1] 魏颖恬 李竞 肖越勇[1] ZHANG Jing;ZHANG Xiao;ZHANG Xiaobo;HE Xiaofeng;ZHANG Xin;WEI Yingtian;LI Jing;XIAO Yueyong(Department of Radiology,Chinese PLA General Hospital,Beijing 100853,China)

机构地区：[1]中国人民解放军总医院放射诊断科,北京100853

出　　处：《中国介入影像与治疗学》2019年第4期195-198,共4页Chinese Journal of Interventional Imaging and Therapy

基　　金：北京市科技新星计划(Z181100006218026)

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。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 125 I 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.

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 

分 类 号：R734.2[医药卫生—肿瘤] R814.42[医药卫生—临床医学]