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目的探讨对不能手术切除的中央型肺癌行胸腔镜辅助射频消融治疗的近期疗效。方法 28例肺癌患者因心肺功能差不能耐受肺叶或全肺切除或者手术中发现肿瘤外侵明显、肺门冻结,从而接受了胸腔镜辅助射频消融治疗。术后定期行胸部CT检查观察肿瘤最大直径和肿瘤CT值变化。结果与治疗前比较,CT检查证实射频消融治疗后,肿瘤直径明显缩小、肿瘤实体液化和肿瘤外部强化环明显。28例患者经射频消融后均康复出院,无严重手术并发症。结论胸腔镜辅助射频消融治疗是对肺癌手术方式的一种有益补充,近期疗效明显,尤其适用于不能手术切除的中央型肺癌。
Objective To investigate the short-term curative effect of thoracoscopic assisted radiofrequency ablation in patients with unresectable central lung cancer. Methods Twenty-eight patients with lung cancer who were unable to tolerate lobectomy or pneumonectomy because of poor cardiopulmonary function were found to have significant tumor invasion and frozen hilar surgery, thus receiving thoracoscopic radiofrequency ablation. Thoracic CT examination was performed regularly to observe the maximum tumor diameter and tumor CT value. Results Compared with before treatment, CT examination confirmed radiofrequency ablation treatment, the tumor diameter was significantly reduced, the solid tumor liquefaction and external enhancement ring significantly. 28 patients were recovered after radiofrequency ablation, no serious surgical complications. Conclusions Video-assisted thoracoscopic radiofrequency ablation is a useful supplement to lung cancer surgery, with obvious curative effect in the near future. It is especially suitable for central lung cancer that can not be surgically removed.