Imaging Department, University College Hospital, 235 Euston Road, London, NW1 2BU, UK.
Cancer Imaging. 2009 Oct 2;9 Spec No A(Special issue A):S68-70. doi: 10.1102/1470-7330.2009.9028.
The last few years have seen a rapid expansion in the use and availability of ablation techniques with hundreds of papers published. Radiofrequency remains the front-runner in terms of cost, ease of set-up, versatility and flexibility but other techniques are catching up. Ablation with cryotherapy and microwave, which were previously only available at open laparotomy due to the large size of the probes, are now readily performed percutaneously, with a predictable reduction in morbidity. Ablation is now accepted as the first line of treatment in patients with limited volume hepatocellular carcinoma who are not candidates for transplantation. There is continuing debate in most other areas but the evidence is increasing for an important role in liver metastases, renal carcinoma, inoperable lung tumours and some bone tumours.
在过去的几年中，消融技术的应用和可用性迅速扩大，发表了数百篇论文。射频仍然是成本、设置简便性、多功能性和灵活性方面的领先技术，但其他技术也在迎头赶上。冷冻疗法和微波消融以前由于探头尺寸较大，只能在剖腹手术中进行，现在可以通过经皮方式进行，发病率可预测性降低。对于体积有限且不符合移植条件的肝细胞癌患者，消融术现在被接受为一线治疗方法。在大多数其他领域仍存在持续争论，但越来越多的证据表明，消融术在肝转移瘤、肾细胞癌、无法手术的肺肿瘤和一些骨肿瘤中具有重要作用。
