孔令德, 刘海波, 陈志涛, 肖伟, 蔺玉霞, 陈颖, 朱良明. 经皮微波热凝固治疗周围型非小细胞肺癌的临床研究[J]. 中国肿瘤临床, 2013, 40(21): 1314-1317. DOI: 10.3969/j.issn.1000-8179.20131446
引用本文: 孔令德, 刘海波, 陈志涛, 肖伟, 蔺玉霞, 陈颖, 朱良明. 经皮微波热凝固治疗周围型非小细胞肺癌的临床研究[J]. 中国肿瘤临床, 2013, 40(21): 1314-1317. DOI: 10.3969/j.issn.1000-8179.20131446
Lingde KONG, Haibo LIU, Zhitao CHEN, Wei XIAO, Yuxia LIN, Ying CHEN, Liangming ZHU. Percutaneous microwave coagulation for treating peripheral non-small-cell lung cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2013, 40(21): 1314-1317. DOI: 10.3969/j.issn.1000-8179.20131446
Citation: Lingde KONG, Haibo LIU, Zhitao CHEN, Wei XIAO, Yuxia LIN, Ying CHEN, Liangming ZHU. Percutaneous microwave coagulation for treating peripheral non-small-cell lung cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2013, 40(21): 1314-1317. DOI: 10.3969/j.issn.1000-8179.20131446

经皮微波热凝固治疗周围型非小细胞肺癌的临床研究

Percutaneous microwave coagulation for treating peripheral non-small-cell lung cancer

  • 摘要:
      目的  评价经皮微波热凝固(percutaneous microwave coagulation therapy,PMCT)治疗周围型非小细胞肺癌的临床价值。
      方法  总结了2004年3月至2006年9月期间接受经皮微波热凝固疗法的35例非小细胞肺癌患者,并选择同期性别相同、年龄相近、病理类型相同、临床分期相同的放疗患者35例作为对照,观察其疗效进行临床疗效评估,采用Kaplan-Meier法计算生存率,Log-rank检验比较两种方式的生存差异。
      结果  接受微波热凝固治疗患者的1、3、5年生存率分别为71.4%(25/35)、40.0%(14/35)、20.0%(7/35),接受放射治疗的1、3、5年生存率分别为51.4%(18/35)、22.9%(8/35)、11.4%(4/35),差异有统计学意义(P < 0.05)。
      结论  经皮微波热凝固疗法对因心肺功能差而不能常规手术或恐惧手术创伤的周围型非小细胞肺癌患者是一种微创、安全、有效的好方法。

     

    Abstract:
      Objective  To evaluate the clinical value of percutaneous microwave coagulation therapy for peripheral non-small-cell lung cancer.
      Methods  We evaluated 35 patients with non-small-cell lung cancer who received percutaneous microwave coagulation therapy and 35 patients who received radiotherapy from March 2004 to September 2006; the patients were sex-matched, age-matched, and had the same pathology and clinical staging. Clinical effects were observed and assessed. Survival rate were calculated using the Kaplan–Meier method. The difference in survival rate between the two treatment methods was analyzed using a log-rank test.
      Results  The 1-year, 3-year, and 5-year survival rates for the microwave coagulation therapy group (71.4%, 40.0%, and 20.0%, respectively) were significantly higher than those for the radiation therapy (51.4%, 22.9%, and 11.4%, respectively) (P < 0.05).
      Conclusion  Percutaneous microwave coagulation therapy is a minimally invasive, safe, and effective alternative for patients with peripheral non-small-cell lung cancer who cannot undergo routine surgery because of poor heart and lung function or fear of surgical trauma.

     

/

返回文章
返回