【摘要】 目的 :研究氩氦刀治疗晚期肺癌的临床初步疗效和不良反应。方法 :自 2 0 0 1年初开始选择 4 0例不能手术或不愿手术的Ⅲ、Ⅳ期周围型肺癌或转移性肺癌为研究对象 ,进行氩氦刀治疗 ,手术途径包括CT引导下经皮穿刺、CT定位后B超引导、CT定位后X线透视引导、开胸直视手术等。结果 :所有病例不良反应轻微 ,包括咳嗽、胸痛、咯血、发热、气胸、血胸等 ,经对症处理后好转 ,无手术相关性死亡。术后CT扫描显示病灶CT值明显降低 ,3个月后肿块逐渐缩小至消失。结论 :氩氦刀治疗晚期肺癌疗效较好 ,创伤小 ,不良反应轻微 ,是一项有推广价值的治疗手段更多还原

【Abstract】 Objective:The preliminary clinical effect and side effect of cryosurgery (Ar He knife) on advanced lung cancer were studied.Methods:40 patients with unresectable stage Ⅲ,Ⅳ lung cancer were enrolled since Jan 2001, Cryotherapy under CT guidance, CT localization following B ultrasound guidance, CT localization following X ray guidance, or open cryosurgery were performed.Results:Operative complications including cough, chest pain, hemoptysis, fever, pneumothorax, hemothorax were slight. And they were improved after treatment. No operation related death was observed. CT value decreased transparently postoperation. The tumour reduced gradually to vanish after 3 months.Conclusion:Cryotherapy (Ar He knife) is an effective method for advanced lung cancer with little damage and slight complications.更多还原