Radiology Department, Chelsea and Westminster Hospital, London, United Kingdom.
Department of Radiology, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Can Assoc Radiol J. 2014 May;65(2):177-85. doi: 10.1016/j.carj.2013.01.003. Epub 2013 Aug 12.
Percutaneous image-guided thermal ablation is safe and efficacious in achieving local control and improving outcome in the treatment of both early stage non-small-cell lung cancer and pulmonary metastatic disease, in which surgical treatment is precluded by comorbidity, poor cardiorespiratory reserve, or unfavorable disease distribution. Radiofrequency ablation is the most established technology, but new thermal ablation technologies such as microwave ablation and cryoablation may offer some advantages. The use of advanced techniques, such as induced pneumothorax and the popsicle stick technique, or combining thermal ablation with radiotherapy, widens the treatment options available to the multidisciplinary team. The intent of this article is to provide the reader with a practical knowledge base of pulmonary ablation by concentrating on indications, techniques, and follow-up.
经皮影像引导热消融术在治疗早期非小细胞肺癌和肺转移疾病方面是安全有效的，对于因合并症、心肺储备差或疾病分布不利而不能进行手术治疗的患者，该方法可以实现局部控制并改善预后。射频消融是最成熟的技术，但微波消融和冷冻消融等新的热消融技术可能具有一些优势。先进技术的应用，如诱导性气胸和冰棒技术，或联合热消融与放疗，拓宽了多学科团队的治疗选择。本文的目的是通过集中讨论适应证、技术和随访，为读者提供有关肺消融的实用知识库。
