CAJ | 학술논문

目的：总结 CT 引导下经皮射频消融治疗晚期肺肿瘤的经验。方法：6例晚期肺肿瘤患者，CT 引导下经皮穿刺射频消融，术后配合全身化学药物治疗，分析其治疗效果、安全性、并发症等。结果：手术成功率100％，术后6例痰中带血、3例少量液气胸及胸痛、2例轻度呼吸困难及中度发热，经对症等处理均自愈；1例肺脓肿并败血症。术后1月 CT 评价消融效果：完全消融3例（50％），部分消融3例（50％），消融有效率100％。术后3月评价近期疗效，除1例术后3月9天死于并发症，其余5例中 CR 2例（40％），PR 2例（40％），PD 1例（20％），近期总有效率80％。远期疗效还在进一步治疗及随访中。结论：CT 引导下经皮穿刺射频消融治疗晚期肺肿瘤简单、安全、微创、有效，值得推广应用。
목적：총결 CT 인도하경피사빈소융치료만기폐종류적경험。방법：6례만기폐종류환자，CT 인도하경피천자사빈소융，술후배합전신화학약물치료，분석기치료효과、안전성、병발증등。결과：수술성공솔100％，술후6례담중대혈、3례소량액기흉급흉통、2례경도호흡곤난급중도발열，경대증등처리균자유；1례폐농종병패혈증。술후1월 CT 평개소융효과：완전소융3례（50％），부분소융3례（50％），소융유효솔100％。술후3월평개근기료효，제1례술후3월9천사우병발증，기여5례중 CR 2례（40％），PR 2례（40％），PD 1례（20％），근기총유효솔80％。원기료효환재진일보치료급수방중。결론：CT 인도하경피천자사빈소융치료만기폐종류간단、안전、미창、유효，치득추엄응용。
Objective:To assess the clinical experience of percutaneous radiofrequency thermal ablation(RFA) guided by CT for advanced lung cancer. Methods:Six patients with advanced lung cancer were treated with RFA un-der the CT guidance,and all of them accepted chemotherapy after RFA,then the effect and complication were ana-lyzed. Results:The success rate of operation was 100% . A small quantity of booldy sputum were found in all cases,a little amount of liquid - perumothorax and chest pain were found in 3 cases,mild dyspnea and medium fever in 2 cases after operarion. All cases recovered with symptomatic treatment,lung abscess and septicemia in 1 case. The ablation effect was evaluated by CT scanning in 1 month after operaion,there were completely ablation of the tumor in 3 cases (50% ),partly ablation in 3 cases(50% ),and the total efficiency of RFA was 100% . After 3 months of operation, the short term curative effect was evaluated by CT again,except 1 case died of the complication after 100 days of the RFA,2 cases were CR(40% ),2 cases were PR(40% ),and 1 case was PD(20% ). The rate of short term curative was 80% . The long term curative effect is still being followed - up. Conclusion:Percutaneous RFA guided by CT for advanced lung cancer is a simple,safe,effective and minimal invasive procedure.