多发肺结节消融治疗的研究进展  

Progress in ablation therapy of pulmonary nodules

作　　者：沈旭 沈诚[2] 肖丛佳 林浩楠 朱云柯[2] 林锋[2] 廖虎[2] SHEN Xu;SHEN Cheng;XIAO Congjia;LIN Haonan;ZHU Yunke;LIN Feng;LIAO Hu(Department of Thoracic Surgery,Shangjin Hospital West China Hospital/Chengdu Shangjin Nanfu Hospital,Chengdu,611743,P.R.China;Department of Thoracic Surgery,West China Hospital,Sichuan University,Chengdu,610041,P.R.China)

机构地区：[1]四川大学华西医院上锦医院/成都上锦南府医院胸外科,成都611743 [2]四川大学华西医院胸外科,成都610041

出　　处：《中国胸心血管外科临床杂志》2025年第3期401-405,共5页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

摘　　要：近年来,随着人们体检意识的提高以及检测设备更加精准化,多发肺结节的检出率越来越高。手术切除是治疗恶性肺结节的首选方式,但是多发肺结节、复杂区域的结节及存在手术禁忌证等情况却不适合手术。消融治疗作为一种效果确切、创伤小、费用低的治疗方式,在多发肺结节的治疗方面发展迅速。本文介绍了目前几种常见的消融技术(射频消融、微波消融、冷冻消融)在多发肺结节治疗中的进展,消融技术的适应证和禁忌证,消融治疗后的疗效评估和并发症及处理,并对消融技术在多发肺结节治疗上进行展望。In recent years,with the improvement of people's awareness of physical examination and the more accurate detection equipment,the detection rate of pulmonary nodules is getting higher and higher.Surgical resection is the first choice for the treatment of malignant pulmonary nodules,but multiple pulmonary nodules,nodules in complex areas and those with surgical contraindications are not suitable for surgery.As an effective,less invasive and low-cost treatment,ablation has developed rapidly in the treatment of multiple pulmonary nodules.This article introduces the progress of several common ablation techniques(radiofrequency ablation,microwave ablation,cryoablation)in the treatment of multiple pulmonary nodules,the indications and contraindications of ablation techniques,the efficacy evaluation and complications after ablation therapy,and the prospects of ablation techniques in the treatment of multiple pulmonary nodules.

关 键 词：多发肺结节 肺癌 射频消融 微波消融 冷冻消融 综述 

分 类 号：R73[医药卫生—肿瘤]