高级搜索

冷冻消融治疗晚期肺肿瘤的临床价值探讨

Clinical Signif icance for cryo-ablation Treating Advanced Pulmonary Neoplasm

  • 摘要: 目的 探讨氩氦刀对晚期肺癌治疗的价值。方法 40例肺肿瘤,其中肺癌33例,转移癌7例。肺癌中Ⅰ期3例,Ⅱ期2例,Ⅲa期5例,Ⅲb期11例,Ⅳ期12例。肺原发癌或转移癌氩氦刀冷冻治疗共43例次。伴恶性胸腔积液者,配合应用胸腔促粘连剂、辅助化疗;颅内转移灶放疗。治疗后用CT、胸片和生活质量评分方法(Karnofsky评分)评价疗效。结果 40例中有31例生存,9例死亡。31例有36个氩氦刀治疗灶分别缩小15%~90%;绝大多数患者胸液消失或仅有少量;食欲改善,体力、体重增加;胸闷、胸痛、咳嗽、气喘症状减轻或消失。中位生存期6个月。Kamofsky评分提高了10~30分。结论 氩氦刀在综合治疗肺肿瘤中,对控制局部肿瘤、改善全身状况具有独特的、重要价值。

     

    Abstract: Objective  To probe into significance of cryo2care system (CCS) for advanced pulmonary neoplasms. Methods  There were 33 patient s with lung cancer, 7 with pulmonary metastasis tumor in the 40 patient s ; total 43 lesions were t reated by CCS. There were stage Ⅰ 3 cases, stage Ⅱ 2, stage Ⅲa 5, stage Ⅲb 11, stage Ⅳ12 in the patient s with lung cancer. If the patients complicated malignant hydrothorax, the stimulant was injected into thorax for pleurodesis. and assisted chemotherapy ; int racranial metastatic tumors by radiotherapy. The curative effect s estimated by chest CT scan, X-ray chest film and Karnof sky score. Results  There were 31 patient s survival ; died 9 in 40 cases. 36 lesions in 31 patients treated by CCS shrank 15 %~90 % respectively. Malignant pleural effusion in the most of those patients disappeared or stopped increase and only a little . The patient s had good appetite, got force and weight . Chest distress, chest pain, cough, breathlessness symptoms were alleviation or disappearance . Media survival 6M. Karnof sky score raised f rom 10 to 30. Conclusion  CCS in the comprehensive therapy pulmonary neoplasm was possessed of a special, important valuable for the cont rolling local malignances, improving general condition.

     

/

返回文章
返回