Ewert R, Opitz C
Klinik und Poliklinik für Innere Medizin B, Ernst-Moritz-Arndt-Universität Greifswald.
Radiologe. 2004 Jul;44(7):708-10. doi: 10.1007/s00117-004-1069-x.
Laser-induced thermotherapy (LITT) and radiofrequency thermoablation (RFTA) are increasingly used for pulmonary interventions. Primarily patients with severe functional limitations precluding a surgical approach are selected for these procedures. In this patient group a valid preinterventional risk assessment is of paramount importance. The occurrence of a pneumothorax is one of the most important complications associated with these procedures. Therefore, the functional capacity and pulmonary reserve of these patients should allow for at least short periods of lung collapse. The periinterventional risk of these patients can be estimated from basic lung function studies when certain comorbidities are excluded.
激光诱导热疗(LITT)和射频热消融(RFTA)在肺部介入治疗中的应用越来越广泛。主要选择那些因严重功能受限而无法采用手术方法的患者进行这些治疗。在这一患者群体中,有效的介入前风险评估至关重要。气胸的发生是与这些治疗相关的最重要并发症之一。因此,这些患者的功能能力和肺储备应至少能耐受短时间的肺萎陷。当排除某些合并症时,可通过基本肺功能研究来评估这些患者的围手术期风险。