Clinical Summary of Safety and Efficacy of CT-guided Micro wave Ablation in 38 Cases of Lung Cancer
Objective:The purpose of this study was to investigate the safety and short-term efficacy of CT-guided microwave ablation(MWA)in the treatment of lung cancer.Methods:The data of 38 patients with lung cancer who underwent CT-guided MWA treatment in the Department of Thoracic Surgery of the 962 Hospital of the Joint Logistics Support Force from January 1,2023 to December 31,2023 were selected.Among them,31(81.6%)were males,with an average age of 44.2±14.3 years and an average tumor size of 13.1±5.5 mm.Tumors were located in the right upper lobe in 9 cases(23.7%),the right middle lobe in 7 cases(18.4%),the right lower lobe in 6 cases(15.8%),the left upper lobe in 10 cases(26.3%),and the left lower lobe in 6 cases(15.8%).The clinical data,complete ablation rate,short-term efficacy and complications were retrospectively analyzed to evaluate the safety and short-term efficacy of CT-guided MWA in the treatment of lung cancer.Results:A total of 38 pulmonary tumors were ablated for 38 times,all of which achieved complete ablation with a success rate of 100%.The average postoperative follow-up was 10.2±2.9 months,and there was no recurrence during the follow-up.The imaging outcomes was fibrosis in 29 cases(76.3%),complete disappearance in 7 cases(18.4%),and cavity in 2 cases(5.3%).The most common adverse reaction was pain(18 cases(47.4%).The most common complication was pneumothorax,which occurred in 12 of 38 patients(31.6%),of which 11 were localized pneumothorax,requiring only clinical observation.Only one serious complication was massive pneumothorax,which was cured by closed thoracic drainage,and no death occurred.Conclusion:CT-guided MWA is an effective local treatment for lung cancer with good safety and short-term efficacy.