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目的探讨氩氦刀冷冻治疗肺部恶性肿瘤中CT定位的作用。方法2004年10月至2006年3月30例肺部恶性肿瘤患者在螺旋CT引导下经皮穿刺氩氦刀冷冻治疗术中CT定位。结果29例肺部恶性肿瘤成功实施氩氦刀冷冻治疗,1例气胸肺压缩60%终止手术,3例少量气胸,2例少量咳血。结论在螺旋CT定位中扫描图像清晰,病灶定位准确,经皮穿刺氩氦刀靶向治疗肺部恶性肿瘤是一种微创、安全、疗效可靠的新方法。
Objective To investigate the role of argon-helium cryosurgery in the treatment of lung malignancies. Methods From October 2004 to March 2006, 30 patients with malignant lung tumors underwent percutaneous CT-guided cryosurgery under the guidance of spiral CT. Results A total of 29 cases of malignant lung tumors were successfully treated with argon helium cryoablation. One case of pneumothorax and lung compression stopped 60% of the operation, 3 cases had a small amount of pneumothorax, and 2 cases had a small amount of hemoptysis. Conclusion In the location of spiral CT, the scanned image is clear and the location of the lesion is accurate. Percutaneous argon-helium knife targeted therapy for lung malignant tumor is a new method with minimal invasion, safety and reliable curative effect.