CT引导下微波凝固术治疗鼻咽癌肺转移

发布时间：2018-04-15 23:19

本文选题：鼻咽癌 + 微波凝固　；参考：《实用医学杂志》2017年02期

【摘要】：目的:评价微波凝固术治疗鼻咽癌肺转移的临床价值。方法:回顾性分析2004年5月至2012年7月对98例鼻咽癌肺转移瘤患者168个病灶行微波凝固治疗的临床疗效,经微波凝固治疗1个月后行胸部CT增强扫描评价肿瘤治疗效果。结果:98例患者的168个病灶在治疗1月行CT复查评价疗效,完全缓解50个,部分缓解44个,稳定44个,进展30个,有效率达82.1%。全部病例术后均未出现严重并发症。患者1年、2年、3年的总生存率分别为46.7%,28.3%,13.4%。患者转移灶最大直径大小及累计转移灶的多寡对患者生存有显著影响。结论:微波凝固有较好的长、短期疗效,而且安全可靠,副作用小,是治疗鼻咽癌肺转移的有效方法之一。肺转移灶肿瘤最大径、累计转移灶的多寡均直接影响患者的总生存。
[Abstract]:Objective: to evaluate the clinical value of microwave coagulation in the treatment of lung metastasis of nasopharyngeal carcinoma.Methods: from May 2004 to July 2012, 98 patients with pulmonary metastases of nasopharyngeal carcinoma were treated with microwave coagulation.Results one month after treatment, 168 lesions of 98 cases were evaluated by CT reexamination. 50 cases were completely relieved, 44 were partially relieved, 44 were stable, and 30 were advanced. The effective rate was 82.1%.No serious complications were found in all cases.The overall survival rate of 1 year, 2 year and 3 year patients were 46.7% and 28.3% (13.4%), respectively.The maximum diameter of metastases and the number of accumulative metastatic foci had a significant effect on the survival of the patients.Conclusion: microwave coagulation is one of the effective methods for the treatment of lung metastasis of nasopharyngeal carcinoma.The maximum diameter of lung metastases and the number of accumulative metastatic foci directly affect the overall survival of patients.
【作者单位】：桂林医学院附属医院耳鼻喉头颈外科;桂林医学院附属医院耳鼻喉头放疗科;
【基金】：国家自然科学基金项目(编号:81460430) 广西自然科学基金项目(编号:2014GXNSFAA118233) 广西卫生厅科研课题(编号:Z2013484,Z2016380)
【分类号】：R739.63

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