活检同步消融一体化诊疗方案治疗肺肿瘤的单中心临床分析  

Synchronous biopsy followed by radiofrequency ablation in lung tumors: A clinical analysis of a single center

作　　者：刘钦[1] 王庆兵[1] 孙雅文[2] 郭晓霞 黄蔚[1] 肖丁奕 王忠敏[1] 丁晓毅[1] 吴志远[1] LIU Qin;WANG Qingbing;SUN Yawen;GUO Xiaoxia;HUANG Wei;XIAO Dingyi;WANG Zhongmin;DING Xiaoyi;WU Zhiyuan(Department of Interventional Radiology,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai,200025,P.R.China;Department of Radiology,Renji Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai,200025,P.R.China)

机构地区：[1]上海交通大学医学院附属瑞金医院放射介入科,上海200025 [2]上海交通大学医学院附属仁济医院放射科,上海200025

出　　处：《中国胸心血管外科临床杂志》2021年第11期1305-1309,共5页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

基　　金：国家自然科学基金(62173223,81901693);上海市临床重点专科项目(shslczdzk06002);上海市“医苑新星”青年医学人才培养资助计划(青年医学人才类医学影像项目)(沪卫人事[2020]087号)。

摘　　要：目的探讨CT引导经皮穿刺活检同步射频消融一体化诊疗方案在肺肿瘤中的应用价值。方法回顾性分析2019年6~9月我院肺肿瘤就诊患者21例的临床资料,其中男8例、女13例,中位年龄68(51,73)岁,共24个病灶行CT引导经皮穿刺活检同步射频消融治疗,分析该一体化诊疗方案的有效性和安全性。结果 21例患者均顺利完成一体化诊疗,24个病灶直径17.0(13.3,19.0)mm。活检标本满足病理诊断要求,标本有效性100.0%;术后少量气胸/胸膜皱缩发生率19.0%(4/21),张力性气胸发生率4.7%(1/21),无明显出血等其它并发症。结论 CT引导经皮穿刺活检同步射频消融结合了两种介入技术,该一体化方案在肺肿瘤诊疗中安全、有效,值得临床推广应用。Objective To explore the application value of synchronous CT-guided percutaneous biopsy followed by radiofrequency ablation in the diagnosis and treatment of lung tumors. Methods The clinical data of 21 patients with lung tumors were retrospectively analyzed. There were 8 males and 13 females aged 68(51, 73) years. A total of 24 lesions underwent CT-guided percutaneous biopsy and concurrent radiofrequency ablation. The effectiveness and safety of this protocol were analyzed. Results All 21 patients successfully completed the procedures. The diameter of 24 lesions was17.0(13.3, 19.0) mm. Biopsy specimens met the requirements of pathological diagnosis, and the effectiveness of specimens was 100.0%. The incidence of small amount of pneumothorax/pleural shrinkage after procedures was 19.0%(4/21) and the incidence of tension pneumothorax was 4.7%(1/21). There was no obvious bleeding or other complications.Conclusion Synchronous CT-guided percutaneous biopsy followed by radiofrequency ablation combines two interventional techniques, which is safe and effective in the diagnosis and treatment of lung tumors, and it is worthy of popularization and application in clinic.

关 键 词：肺肿瘤 消融 活检 介入治疗 

分 类 号：R734.2[医药卫生—肿瘤]