Sharma Amita, Abtin Fereidoun, Shepard Jo-Anne O
Department of Radiology, Massachusetts General Hospital, Founders 202, 55 Fruit Street, Boston, MA 02114, USA.
Radiol Clin North Am. 2012 Sep;50(5):975-99. doi: 10.1016/j.rcl.2012.06.004.
Lung cancer is the commonest cause of death in adults. Although the treatment of choice is surgical resection with lobectomy, many patients are nonsurgical candidates because of medical comorbidities. Patients may also have recurrent disease after resection or radiotherapy and some patients refuse surgical options. Image-guided ablation has been recently introduced as a safe, alternative treatment of localized disease in carefully selected patients. This article discusses the principles, technique, and follow-up of the 3 main ablative therapies currently used in the lung, radiofrequency ablation, microwave ablation, and percutaneous cryotherapy.
肺癌是成年人最常见的死因。尽管首选的治疗方法是肺叶切除手术切除，但由于存在合并症，许多患者不适合手术。患者在切除或放疗后也可能出现疾病复发，还有一些患者拒绝手术治疗方案。图像引导消融最近已被引入，作为在精心挑选的患者中对局部疾病进行安全的替代治疗方法。本文讨论了目前在肺部使用的3种主要消融疗法的原理、技术和随访情况，即射频消融、微波消融和经皮冷冻治疗。
