口腔颌面外科杂志2024,Vol.34Issue(4) :251-258.DOI:10.12439/kqhm.1005-4979.2024.04.001

近红外荧光引导手术在口腔癌治疗中的应用及展望

Application and prospects of near-infrared fluorescence guided surgery in the treatment of oral cancer

谢狄亚 肖涛 单丹妮 周婷 王志勇
口腔颌面外科杂志2024,Vol.34Issue(4) :251-258.DOI:10.12439/kqhm.1005-4979.2024.04.001

近红外荧光引导手术在口腔癌治疗中的应用及展望

Application and prospects of near-infrared fluorescence guided surgery in the treatment of oral cancer

谢狄亚 1肖涛 1单丹妮 1周婷 1王志勇1
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作者信息

  • 1. 南京大学医学院附属口腔医院,南京市口腔医院口腔颌面外科,南京大学口腔医学研究所,南京 210008
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摘要

口腔癌原发灶的完整切除及颈部转移淋巴结的彻底清扫,是口腔癌手术治疗成功的关键.然而,在手术过程中,除了依赖冰冻活检技术外,手术医生尚无便捷、有效的辅助手段评估肿瘤根治的彻底性.近年来,以近红外荧光(near-infrared fluorescence,NIF)成像技术为基础的荧光引 导手术(fluorescence-guided surgery,FGS)逐渐成熟,为医生提供了重要的术中实时辅助,得到广泛认可和应用,而其在口腔癌外科治疗中的应用尚处于起步阶段.本文介绍该技术在口腔癌手术中的具体临床应用场景,讨论目前尚存的挑战并展望未来的发展方向,以期为临床应用和研究提供参考.

Abstract

The complete resection of tumor and metastatic cervical lymph nodes are the key to the successful surgical treatment of oral cancer.However,during the operation,surgeons do not have a convenient and effective auxiliary means to evaluate the completeness of tumor eradication,in addition to relying on frozen biopsy techniques.In recent years,with the development of near-infrared fluorescence(NIF)imaging,fluorescence-guided surgery(FGS)has gradually evolved,providing important real-time intraoperative assistance for surgeons,and has also been widely recognized and applied in clinical practice.The application of fluorescence imaging in the surgical treatment of oral squamous cell carcinoma(OSCC)is still in its early stages.This article introduces the specific clinical application scenarios of this technology in oral cancer surgery,discusses the current challenges,and looks forward to future development,so as to provide reference for its clinical application and research.

关键词

口腔鳞状细胞癌/吲哚菁绿/近红外荧光成像/荧光引导手术

Key words

oral squamous cell carcinoma/indocyanine green/near-infrared fluorescence imaging/fluorescence-guided surgery

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基金项目

江苏省重点研发计划(BE2018618)

出版年

2024
口腔颌面外科杂志
同济大学

口腔颌面外科杂志

CSTPCD
影响因子:0.982
ISSN:1005-4979
参考文献量7
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