肺部恶性肿瘤热消融系列并发症防治的文献复习  

Prevention and treatment of a series of complications of thermal ablation in the treatment of lung tumors:a review of the literature

作　　者：丁荣[1] 牛有权 黄明[1] 赵玲[1] 杨银山[1] 吴起杰[1] 谭骅[1] 周劲梅[1] Ding Rong;Niu Youquan;Huang Ming;Zhao Ling;Yang Yinshan;Wu Qijie;Tan Hua;Zhou Jinmei(Department of Minimally Invasive Interventional Medicine,the Third Affifiliated Hospital of Kunming Medical University,Tumor Hospital of Yunnan Province,Yunnan Kunming 650118,China)

机构地区：[1]昆明医科大学第三附属医院(云南省肿瘤医院)微创介入医学科,云南昆明650118

出　　处：《中华介入放射学电子杂志》2021年第4期434-439,共6页Chinese Journal of Interventional Radiology：electronic edition

摘　　要：射频消融和微波消融是临床常用的热消融技术,具有微创、可重复性强、术后恢复快和疗效确切等优点,是治疗肺部原发肿瘤和转移瘤常用的重要手段,尤其适用于不能耐受外科手术的老年患者。虽然该技术治疗肺部恶性肿瘤并发症发生率低且症状轻微,但对于部分合并肺部基础疾病的老年人,术后发生严重并发症风险较高,甚至危及患者生命,故如何科学预防和有效治疗相关并发症至关重要。文章系统复习文献并结合本中心经验,对肺部恶性肿瘤热消融系列并发症发生的原因、预防和治疗措施进行了阐述,希望引起临床医生重视,能减少相关并发症发生,有效提高临床疗效。Radiofrequency ablation and microwave ablation are commonly used thermal ablation techniques in clinical practice.With the advantages of minimally invasive,strong repeatability,fast postoperative recovery and accurate efficacy,they are commonly used as important means for the treatment of primary lung tumors and metastatic tumors,especially for the elderly who cannot tolerate surgical operations.Although the incidence of complications of thermal ablation is low and the symptoms are mild,for some elderly people the risk of serious postoperative complications is increased due to the combination of pulmonary basic diseases,even threatening the life of patients.Therefore,how to scientifically prevent and effectively treat related complications is crucial.This paper systematically reviewed the literature and combined with the experience of our center,expounded the causes,prevention and treatment measures of the complications of thermal ablation of lung tumors,hoping to attract the attention of clinicians,reduce the occurrence of related complications,and effectively improve the clinical efficacy.

关 键 词：肺肿瘤 射频消融 微波消融 并发症 

分 类 号：R734.2[医药卫生—肿瘤]