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激光诱导间质热疗在前列腺癌中的应用

Laser Interstitial Thermotherapy in Treatment of Prostate Cancer

  • 摘要: 前列腺癌是目前中老年男性常见恶性肿瘤。手术是治疗局限性前列腺癌最有效的方法。对于无法、不愿或不必手术的患者可以采用试验性局部治疗。激光诱导间质热疗是其中的新技术,主要利用激光短时间内产生高热杀死肿瘤细胞,产生组织凝固性坏死。近年来该技术在国外发展较快,已发表Ⅰ期临床试验和多份小样本量报道,均取得较满意短期疗效,但尚缺乏远期疗效及大型多中心前瞻性研究,研究方法也需尽快统一,激光诱导间质热疗需要更多的经验积累和研究结果以便推广应用。

     

    Abstract: Prostate cancer is a common malignant tumor occurred in elder men, for which radical prostatectomy is officially recommended to be the most effective treatment. Laser interstitial thermotherapy(LITT)is one of the new-developed techniques in focal therapy, which is a good choice for those who cannot, do not want, or are unnecessary for surgery. LITT is based on the photothermal effect to induce heat energy in a very short time, increasing the temperature and causing irreversible damages and destruction. LITT is rapidly developed with satisfactory results in phase I clinical trails and small-sample researches, showing the high clinical value in future. But it lacks long-term results and large-scale multicentre prospective studies, and the standards vary among reports. It still needs more clinical experience and large studies to apply LITT.

     

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