射频消融治疗晚期肺癌12例临床分析

Clinicai Applicatiao of Percutaneous Radiofrequency Ablatiao Used in Treatment Advanced Lung Cancer Patient

目的:探讨射频消融治疗晚期肺癌的临床疗效及安全性。方法:对12例原发性晚期肺癌和肺转移癌病人,在局麻下进行射频消融治疗,8例在CT下定位,2例在胸腔镜直视下进行。消融温度56～90°,治疗时间为30～120分钟。结果:12例病人共进行14次射频消融,其中2例进行2次。术中6例伴有不同程度的疼痛,3例出现不同程度的咳嗽、咳血。治疗后4例出现不同程度的肺水肿,发生气胸2例,血胸1例,住院治疗期间全组无死亡病例。结论:经皮射频消融术治疗晚期肺癌,损伤小,安全,病人易于接受,治疗有效,远期效果需进一步观察。

Objective： To discuss the efficacy and safety of advanced lung cancer patientstreated with radiofrequency abiation（RFA）. Methods： Twelve advanced lung cancer patients were treated with RFA in local anaesthesia 8 under CTscan ,2 through VATS. RFA temperature from 56℃ to 90℃ ,Procedure time from 30 to 120 minutes. Results： Forth RFA were done in 12 patients .2 of them done twice.6 patients appeared pain during RFA,3 of them with cough and hemoptysis separately.After RRA 4 of them presented with pulmonary edema. Pneumothorax in2patient,pulmonary hemorrhage in one.No patients died in the hospital. Conclusion： Percntaneous radiofrequency ablation might be safe to treat advanced lung cancerIts long term result need to be studied further.