首页|热消融治疗肺癌的研究进展

热消融治疗肺癌的研究进展

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虽然手术切除仍是Ⅰ期非小细胞肺癌(non-small cell lung cancer,NSCLC)的最佳治疗策略,但经皮热消融治疗为无法行手术切除的患者提供了重要选择.目前,主要有3种热消融方法用于肺癌治疗:射频消融(radiofrequency ablation,RFA)、微波消融(microwave ablation,MWA)和氩氦刀冷冻消融(argon-helium cryoablation,AHC).随着技术的改进和经验的积累,在最初应用的RFA中观察到的一些局限性,如热沉效应、皮肤灼伤和快速碳化等在MWA和AHC的发展中得以克服.热消融治疗肺癌的可行性和安全性已得到验证并且疗效显著提高(尤其肿瘤直径≤3 cm时).本文将主要讨论这些消融技术在肺癌治疗中的应用和研究进展.
Research advances in thermal ablation for lung cancer
Although surgical resection remains to be the best treatment strategy for stage Ⅰ non-small cell lung cancer(NSCLC),percutaneous thermal ablation offers an important option for patients who are unable to undergo surgical resection.Currently,there are three main thermal ablation methods used in the treatment of lung cancer,including radiofrequency ablation(RFA),microwave ablation(MWA)and argon-helium cryoablation(AHC).With the improvement of technique and the accumulation of experience in the treatment of lung cancer,some limitations are disclosed in the initial application of RFA,such as heat sink effect,skin burns and rapid carbonization.These shortcomings have been overcome in the development of MWA and AHC.The feasibility and safety of thermal ablation for the treatment of lung cancer has been demonstrated and its efficacy has been significantly improved(especially for the tumour diameter≤3 cm).This article will focus on the application and recent research developments of these ablation techniques in the treatment of lung cancer.

Lung cancermetastatic cancerthermal ablationradiofrequency ablationmicrowave ablationargon-helium cryoablationreview

洪子强、金大成、白向豆、崔百强、苟云久

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甘肃中医药大学第一临床医学院(兰州 730000)

甘肃省人民医院胸外科(兰州 730000)

肺癌 转移癌 热消融 射频消融 微波消融 氩氦刀冷冻消融 综述

甘肃省临床医学研究中心建设项目甘肃省自然科学基金

21JR7RA67321JR7RA673

2024

中国胸心血管外科临床杂志
四川大学华西医院

中国胸心血管外科临床杂志

CSTPCD北大核心
影响因子:0.846
ISSN:1007-4848
年,卷(期):2024.31(1)
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