CAJ | 학술논문

结直肠癌肝转移(CRLM)是结直肠癌患者主要死亡原因之一.目前,绝大部分CRLM患者没有根治性手术切除的机会.然而,热消融技术的广泛运用,使得这些患者能得到近似手术治疗的效果.热消融治疗主要包括射频消融(radiofrequency ablation,RFA)和微波消融(microwaveablation,MWA).目前RFA治疗CRLM的安全性及疗效较为肯定,但MWA治疗CRLM的研究数据仍然不充分,难以评判其疗效.本文就MWA治疗CRLM的机制、疗效、并发症等进行综述.
결직장암간전이(CRLM)시결직장암환자주요사망원인지일.목전,절대부분CRLM환자몰유근치성수술절제적궤회.연이,열소융기술적엄범운용,사득저사환자능득도근사수술치료적효과.열소융치료주요포괄사빈소융(radiofrequency ablation,RFA)화미파소융(microwaveablation,MWA).목전RFA치료CRLM적안전성급료효교위긍정,단MWA치료CRLM적연구수거잉연불충분,난이평판기료효.본문취MWA치료CRLM적궤제、료효、병발증등진행종술.
Colorectal liver metastases (CRLM) are one of the main causes of death among the patients with colorectal cancer,yet most patients with CRLM are unable to get radical resection.Fortunately,thermal ablation can yield long-term survival efficacy in this population of CRLM patients.Currently,thermal ablation is the first-line treatment among other ablation technologies,including radiofrequency ablation and microwave ablation (MWA).However,recent advancements in microwave ablation techniques increase consideration of this method in the treatment of CRLM,such as:reliable,fast,efficient and rarely affected by heat-sink effect.This article aims to review the mechanism,efficacy,complications of MWA in treating CRLM.