CT引导下微波消融术治疗肺转移瘤的临床效果

Clinical effect of CT-guided microwave ablation in the treatment of pulmonary metastases

目的探讨CT引导下MWA治疗肺转移瘤的临床效果。方法回顾性分析2014年1月至2017年7月接受CT引导下MWA治疗的60例肺转移瘤患者的临床资料,评估CT引导下MWA治疗肺部肿瘤的安全性及其临床疗效。结果60例患者100个病灶术后1个月复查98个病灶完全消融,完全消融率为98.0%。术后1个月内无一例因MWA造成的死亡,12例患者发生并发症,其中3例患者发生咯血,1例胸腔积液,9例气胸,对症处理后均好转。结论CT引导下经皮穿刺MWA治疗肺转移瘤是一种安全有效的微创治疗方法。

Objective To discuss the clinical effect of CT-guided microwave ablation(MWA)in the treatment of pulmonary metastases.Methods The clinical data of 60 patients with 100 pulmonary metastatic lesions,who received CT-guided MWA at authors'hospital during the period from January 2014 to July 2017,were retrospectively analyzed.The safety and clinical curative effect of CT-guided MWA for pulmonary metastases were evaluated.Results Of the 100 pulmonary metastatic lesions in 60 patients,reexamination at one month after CT-guided MWA showed that complete ablation of lesion was achieved in 98,the complete ablation rate was 98.0%.No MWA-related death occurred within one month after treatment.Twelve patients developed complications,including hemoptysis(n=3),pleural effusion(n=1)and pneumothorax(n=9),all the complications were improved after symptomatic treatment.Conclusion For the treatment of pulmonary metastases,CT-guided percutaneous puncture MWA is a safe and effective minimally-invasive method.