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目的 探讨多弹头射频对非小细胞肺癌的治疗作用。方法 将 71例非小细胞肺癌患者分 2组 ,A组 36例患者行 39次射频治疗 ,通过治疗前后肿瘤的大小进行对比观察 ,B组 35例行CAP或FAP方案静脉联合化疗。结果 A组 36例于治疗后 10d ,2 0例于治疗后 30d ,15例于治疗后 6 0d进行了CT复查 ,10d后 6 9%患者肿瘤体积缩小在 2 0 %以上 ,30d后 75 %患者肿瘤体积缩小在 30 %以上 ,6 0d后 5 3%患者肿瘤体积缩小在 5 0 %以上 ,13%肿瘤消失 ,无手术死亡 ;A组有效率 6 6 %明显高于B组的 2 2 9% (P <0 0 1)。结论 CT引导下多弹头射频治疗肺癌是一种新的安全、可靠、有效的治疗方法
Objective To investigate the therapeutic effect of multi-warhead radiofrequency on non-small cell lung cancer. Methods 71 patients with non-small cell lung cancer were divided into 2 groups. A group of 36 patients underwent 39 radiofrequency treatments. The size of the tumor was compared before and after treatment. In group B, 35 patients underwent CAP or FAP intravenous chemotherapy. Results 36 cases of group A were treated with CT at 10 days after treatment, 20 cases at 30 days after treatment and 15 cases at 60 days after treatment. After 10 days, the tumor volume was reduced to more than 20% in 30 cases and 75% after 30 days The tumor volume decreased by more than 30%. After 60 days, the tumor volume decreased by more than 50% in 13% of the patients and 13% of the tumors disappeared without any surgical death. The effective rate of group A was 66%, which was significantly higher than that of group B (P <0 0 1). Conclusion CT-guided multi-warhead radiofrequency ablation of lung cancer is a new safe, reliable and effective treatment