消融技术在结直肠癌肝转移中的应用  

Application of Ablation Technique in Hepatic Metastasis of Colorectal Cancer

作　　者：江蜜 熊俊[1] 张树华[1] Jiang Mi;Xiong Jun;Zhang Shuhua(Department of He patobiliary Surgery,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院肝胆外科,武汉430022

出　　处：《华中科技大学学报（医学版）》2021年第3期392-397,共6页Acta Medicinae Universitatis Scientiae et Technologiae Huazhong

基　　金：湖北省自然科学基金资助项目(No.2017CFB634)。

摘　　要：肝转移是导致结直肠癌患者死亡的最主要原因,手术切除是其首选治疗方式。然而,临床可手术切除的转移瘤所占比例不到25%。近年来,热消融技术因其疗效和安全性日益提升而得到了广泛应用,使一些不适合手术切除的肝转移瘤患者获得根治机会。目前,关于消融术的研究主要集中在射频消融和微波消融,而对其他消融方式的研究相对较少。该文详细综述了射频消融和微波消融的技术原理、疗效、远期生存等,以期为结直肠癌肝转移患者的治疗提供参考。Liver metastasis is the leading cause of death in patients with colorectal cancer,and surgical resection is the preferred treatment.However,the proportion of metastases that are clinically resectable is less than 25%.In recent years,thermal ablation technology has been widely used due to its increasing efficacy and safety in the treatment of liver metastases,providing a radical cure opportunity for some patients who are not suitable for surgical resection.At present,the research on ablation mainly focuses on radiofrequency ablation and microwave ablation.The technical principle,efficacy and long-term survival of radiofrequency ablation and microwave ablation were introduced in this review,in order to provide reference for the treatment of patients with liver metastasis from colorectal cancer.

关 键 词：消融治疗 射频消融 微波消融 结直肠癌肝转移 

分 类 号：R735.3[医药卫生—肿瘤]