肺部病变的射频消融术。

Radiofrequency ablation of pulmonary lesions.

作者信息

Cariati M, Giordano G, Midulla M, Calati A M, Sacrini A, Raveglia F, Cornalba G P

机构信息

U.O. Radiologia Diagnostica Interventistica, Azienda Ospedaliera San Paolo, and Scuola di Scpecializzazione in Radiodiagnostica, Università di Milano, Italy.

出版信息

Radiol Med. 2007 Mar;112(2):149-56. doi: 10.1007/s11547-007-0131-y. Epub 2007 Mar 19.

DOI:10.1007/s11547-007-0131-y

PMID:17361380

Abstract

PURPOSE

Radiofrequency ablation uses the thermal energy produced by a generator to create a coagulative necrosis. The method is well established for the treatment of a variety of primary and secondary cancers of the liver but is less well studied for the treatment of lung malignancies.

MATERIALS AND METHODS

From March 2005 to March 2006, 11 patients (seven men and four women) with single or multiple pulmonary nodules underwent radiofrequency ablation of 12 unresectable pulmonary tumours. Follow-up computed tomography (CT) was performed at 1, 3, 6, and 12 months after radiofrequency ablation. Lesions were evaluated for dimensions and contrast enhancement.

RESULTS

Radiofrequency ablation was well tolerated by all patients. Postprocedural complications included four cases of pneumothorax treated with simple aspiration without tube placement and one case of small parenchymal haemorrhage. There were no major complications.

CONCLUSIONS

Radiofrequency ablation of primary or secondary pulmonary lesions is a safe and technically feasible option for the management of unresectable pulmonary malignancies.

摘要