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微波消融致大面积肺坏死的急诊外科干预

Emergency Surgical Intervention in Microwave Ablation-Induced Massive Lung Necrosis.

作者信息

Kimiaei Ali, Safaei Seyedehtina, Çağan Pinar, Kutlu Cemal Asim

机构信息

Thoracic Surgery, Bahçeşehir University, Istanbul, TUR.

出版信息

Cureus. 2024 Feb 20;16(2):e54542. doi: 10.7759/cureus.54542. eCollection 2024 Feb.

DOI:10.7759/cureus.54542
PMID:38516481
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10956637/
Abstract

Microwave ablation (MWA) has become an increasingly used procedure for the management of lung nodules in recent years. Here, we report a 33-year-old female presenting with massive pulmonary necrosis and tension pneumothorax after MWA for metastatic colon cancer. She required surgical intervention, including thoracotomy, debridement, and wedge resection, for the management of these complications.

摘要

近年来，微波消融（MWA）已成为治疗肺结节越来越常用的方法。在此，我们报告一名33岁女性，在接受MWA治疗转移性结肠癌后出现大面积肺坏死和张力性气胸。她需要手术干预，包括开胸手术、清创术和楔形切除术，以处理这些并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/094d/10956637/1fe46847562a/cureus-0016-00000054542-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/094d/10956637/473377825920/cureus-0016-00000054542-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/094d/10956637/7799a785774f/cureus-0016-00000054542-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/094d/10956637/c36b7ed7086a/cureus-0016-00000054542-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/094d/10956637/1fe46847562a/cureus-0016-00000054542-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/094d/10956637/473377825920/cureus-0016-00000054542-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/094d/10956637/7799a785774f/cureus-0016-00000054542-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/094d/10956637/c36b7ed7086a/cureus-0016-00000054542-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/094d/10956637/1fe46847562a/cureus-0016-00000054542-i04.jpg

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本文引用的文献

1
Massive lung necrosis due to microwave ablation in an octogenarian required urgent lobectomy.一名 80 岁老人因微波消融导致大面积肺坏死，需要紧急进行肺叶切除术。
BMJ Case Rep. 2022 Aug 2;15(8):e249610. doi: 10.1136/bcr-2022-249610.
2
Safety and efficacy of microwave ablation for lung cancer adjacent to the interlobar fissure.肺段间裂毗邻肺癌行微波消融治疗的安全性和有效性。
Thorac Cancer. 2022 Sep;13(18):2557-2565. doi: 10.1111/1759-7714.14589. Epub 2022 Aug 1.
3
A Meta-Analysis of Clinical Outcomes After Radiofrequency Ablation and Microwave Ablation for Lung Cancer and Pulmonary Metastases.
射频消融与微波消融治疗肺癌及肺转移瘤的临床结局的荟萃分析。
J Am Coll Radiol. 2019 Mar;16(3):302-314. doi: 10.1016/j.jacr.2018.10.012. Epub 2019 Jan 12.
4
Surgical management of lung metastases.肺转移瘤的外科治疗
Br J Hosp Med (Lond). 2017 Apr 2;78(4):192-198. doi: 10.12968/hmed.2017.78.4.192.
5
Lung radiofrequency and microwave ablation: a review of indications, techniques and post-procedural imaging appearances.肺射频和微波消融：适应证、技术及术后影像学表现综述
Br J Radiol. 2015 Feb;88(1046):20140598. doi: 10.1259/bjr.20140598. Epub 2014 Dec 3.