摘要
目的探讨纤维支气管镜下微波组织凝固治疗中央型肺癌的价值。方法26例中央型肺癌患者按纤支镜介入治疗常规准备。插入纤支镜到达病变部位后,将微波同轴天线经纤支镜活检孔插入,尖端插入或紧贴治疗部位,调节微波功率为40～65w,持续时间为10～15s/次,行多点烧灼。同时配合鳄口钳清除焦化坏死或游离的组织。1次/5～7d,3～5次为1疗程。结果显效:纤支镜见瘤体缩小60%以上14例(54%);有效:瘤体缩小>30%,<60%者8例(31%);无效4例(35%)。结论经纤维支气管镜微波治疗中央型肺癌为一种操作简单、安全、见效快的姑息性治疗。
Objective To study the value of tissue coagulation by microwave via bronehofibroscope in the trearment of central type pulmonary carcinoma.Methods In 26 patients with central type pulmonary carcinoma, bronehofibroseopes were inserted to the locus of cancers. The microwave aerials with same axle were then inserted through bronehofibroscope＇s dult. The tip of microwave aerial was inserted or dosed to the locus of cancers. The power was modulate from 40w to 65w, continued 10-15s every time .Many spots were burned. Necrotic or dissoezative tissues were cleaned by the clip. Every patient was treated a time every 5-7 days. A course included 3-5 times. Results Obvious effect, the size of tumor was strunk by more than 60% in 14 eases（54%）; common effect, the size of tumor was shrunk by more than 30%,but less than 60% in 8 cases （31%）; no effect, the size of tumor was shrunk by less than 30% in 4 cases （15%）. Symptoms were alleviated obviously.Conclusion Microwave tissue coagulation through bronehofibroscope maybe a transient was to treat central type pulmonary carcinoma.It can be operated easily and safely, and has quick effect.
出处
《江西医药》
CAS
2006年第11期838-840,共3页
Jiangxi Medical Journal
关键词
纤维支气管镜
微波
肺癌
pulmonary carcinoma
microwave trearment
brochofibroscope
