基于CT的三维数字化导航技术在肺癌介入微波消融治疗中的应用价值

doi:10.13491/j.issn.1004-714X.2022.04.018

中国辐射卫生

2022, Vol. 31

Issue (4): 477-481,493 DOI: 10.13491/j.issn.1004-714X.2022.04.018

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基于CT的三维数字化导航技术在肺癌介入微波消融治疗中的应用价值

王凤¹, 宋虎¹, 李瑞东¹, 丁宁¹, 张孔源²

1. 潍坊医学院，山东潍坊 261053;
2. 潍坊市人民医院，山东潍坊 261041

Application value of CT- based three-dimensional digital navigation technology in interventional microwave ablation of lung cancer

WANG Feng¹, SONG Hu¹, LI Ruidong¹, DING Ning¹, ZHANG Kongyuan²

1. Weifang Medical University, Weifang 261053 China;
2. Weifang People's Hospital, Weifang 261041 China

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摘要目的在肺癌微波消融治疗中探究基于CT的三维数字化导航技术的应用价值。方法回顾性分析我院收治的92例肺癌患者,随机进行三维数字化导航微波消融或传统CT引导下微波消融，分为三维导航组和传统组，依据肿瘤位置、大小（最大径差值≤2 mm）及微波消融条件不同两两配对，共46对，比较2组手术时间、微波针穿刺次数、CT剂量指数、术中并发症发生率、术后病灶控制情况。结果三维导航组与传统组的手术时间分别为（30.07 ± 6.36）min、（47.20 ± 9.65）min、穿刺次数分别为（1.72 ± 0.69）次、（7.13 ± 3.00）次、CT剂量指数分别为（11.16 ± 2.20）mGy、（26.67 ± 8.72）mGy、术中并发症发生率分别为10.87%、34.78%，以上3个指标三维导航组均低于传统组，三维导航组治疗有效率（93.48%）高于传统组（71.74%），差异均有统计学意义（P < 0.05）。结论 CT引导下利用三维数字化导航技术行肺癌微波消融治疗，使介入穿刺手术的操作更加精准安全。

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	王凤
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关键词 ：肺癌, 三维数字化导航技术, 微波消融, 介入治疗

收稿日期: 2022-03-03

PACS:

R815

基金资助:1.潍坊市科技发展计划（2020YX001）数字化手术导航系统在肺小结节介入精准诊疗中的应用研究；2.潍坊市卫生健康委科研计划项目（WFWSJK-2021-284）3D打印模块化模板在放射性I¹²⁵粒子均匀植入治疗肿瘤中的应用研究

通讯作者: 张孔源，E-mail：zhangkongyuan@163.com E-mail: zhangkongyuan@163.com

作者简介: 王凤（1996—），女，山东滨州人，研究生，从事医学影像学相关工作。E-mail：wangfeng2015@126.com

引用本文:

王凤, 宋虎, 李瑞东, 丁宁, 张孔源. 基于CT的三维数字化导航技术在肺癌介入微波消融治疗中的应用价值[J]. 中国辐射卫生, 2022, 31(4): 477-481,493.
WANG Feng, SONG Hu, LI Ruidong, DING Ning, ZHANG Kongyuan. Application value of CT- based three-dimensional digital navigation technology in interventional microwave ablation of lung cancer. Chinese Journal of Radiological Health, 2022, 31(4): 477-481,493.

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http://www.zgfsws.com/CN/10.13491/j.issn.1004-714X.2022.04.018 或 http://www.zgfsws.com/CN/Y2022/V31/I4/477

[1] 李翔, 高申. 1990—2019年中国居民肺癌发病、患病和死亡趋势分析[J]. 中国慢性病预防与控制,2021,29(11):821-826. DOI: 10.16386/j.cjpccd.issn.1004-6194.2021.11.005
Li X, Gao S. Trend analysis of the incidence, morbidity and mortality of lung cancer in China from 1990 to 2019[J]. Chin J Prev Control Chron Dis, 2021, 29(11): 821-826. DOI: 10.16386/j.cjpccd.issn.1004-6194.2021.11.005
[2] Wu FY, Wang L, Zhou CC. Lung cancer in China: current and prospect[J]. Curr Opin Oncol, 2021, 33(1): 40-46. DOI: 10.1097/CCO.0000000000000703
[3] 杨佳颖, 杨武威, 温铭杰. 磨玻璃结节肺癌消融治疗的研究进展[J]. 北京医学,2021,43(10):987-990. DOI: 10.15932/j.0253-9713.2021.10.012
Yang JY, Yang WW, Wen MJ. Research progress on ablation of ground glass nodules for lung cancer[J]. Beijing Med J, 2021, 43(10): 987-990. DOI: 10.15932/j.0253-9713.2021.10.012
[4] Peng JZ, Bie ZX, Li YM, et al. Microwave ablation of lung malignancies with coexisting severe emphysema: a retrospective analysis of safety and efficacy in 26 patients[J]. Int J Hyperthermia, 2021, 38(1): 136-143. DOI: 10.1080/02656736.2021.1876254
[5] 丁宁, 王凤, 李瑞东, 等. PET/CT多模态三维数字化导航技术在肺结节中的应用[J]. 中国辐射卫生,2021,30(6):757-761. DOI: 10.13491/j.issn.1004-714X.2021.06.019
Ding N, Wang F, Li RD, et al. Application of multi-modal 3D digital navigation combined with PET/CT in pulmonary nodules[J]. Chin J Radiol Health, 2021, 30(6): 757-761. DOI: 10.13491/j.issn.1004-714X.2021.06.019
[6] 魏颖恬, 肖越勇. 影像学引导肺癌冷冻消融治疗专家共识2018版[J]. 中国介入影像与治疗学,2018,15(5):259-263. DOI: 10.13929/j.1672-8475.201710016
Wei YT, Xiao YY. Expert consensus for image-guided cryoablation of lung cancer (2018 Edition)[J]. Chin J Interv Imaging Ther, 2018, 15(5): 259-263. DOI: 10.13929/j.1672-8475.201710016
[7] 胡牧, 支修益, 刘宝东, 等. CT引导经皮射频消融治疗80岁以上老年非小细胞肺癌患者25例安全性分析[J]. 实用老年医学,2012,26(2):171-172. DOI: 10.3969/j.issn.1003-9198.2012.02.026
Hu M, Zhi XY, Liu BD, et al. CT guided percutaneous radiofrequency ablation for 25 elderly patients with non-small cell lung cancer over 80 years old[J]. Pract Geriat, 2012, 26(2): 171-172. DOI: 10.3969/j.issn.1003-9198.2012.02.026
[8] Palussière J, Catena V, Buy X. Percutaneous thermal ablation of lung tumors - Radiofrequency, microwave and cryotherapy: where are we going[J]. Diagn Interv Imaging, 2017, 98(9): 619-625. DOI: 10.1016/j.diii.2017.07.003
[9] Liu NL, Yang B, Chen TM, et al. The application of magnetic resonance imaging-guided microwave ablation for lung cancer[J]. J Can Res Ther, 2020, 16(5): 1014-1019. DOI: 10.4103/jcrt.JCRT_354_20
[10] Seki T, Wakabayashi M, Nakagawa T, et al. Percutaneous microwave coagulation therapy for solitary metastatic liver tumors from colorectal cancer: a pilot clinical study[J]. Am J Gastroenterol, 1999, 94(2): 322-327. DOI: 10.1111/j.1572-0241.1999.00849.x
[11] Shen XK, Chen TM, Yang B, et al. Magnetic resonance imaging-guided microwave ablation for lung tumor: a case report[J]. Quant Imaging Med Surg, 2021, 11(6): 2780-2784. DOI: 10.21037/qims-20-667
[12] Chen B, Li W, Liu Y, et al. The efficacy and complications of computed tomography guided microwave ablation in lung cancer[J]. Ann Palliat Med, 2020, 9(5): 2760-2765. DOI: 10.21037/apm-20-255
[13] 周丽, 康剑灵, 詹洁, 等. 柔性针在有障碍环境中的穿刺路径规划[J]. 东华大学学报(自然科学版),2015,41(1):130-134. DOI: 10.3969/j.issn.1671-0444.2015.01.024
Zhou L, Kang JL, Zhan J, et al. Path planning of flexible needles in the environment with obstacles[J]. J Donghua Univ (Nat Sci Ed), 2015, 41(1): 130-134. DOI: 10.3969/j.issn.1671-0444.2015.01.024
[14] Franck C, Vandevoorde C, Goethals I, et al. The role of Size-Specific Dose Estimate (SSDE) in patient-specific organ dose and cancer risk estimation in paediatric chest and abdominopelvic CT examinations[J]. Eur Radiol, 2016, 26(8): 2646-2655. DOI: 10.1007/s00330-015-4091-7
[15] 黄蓉蓉, 周艳, 郭玲, 等. X射线对小胶质细胞M1和M2型极化的影响[J]. 中国辐射卫生,2021,30(3):247-252. DOI: 10.13491/j.issn.1004-714X.2021.03.001
Huang RR, Zhou Y, Guo L, et al. The effect of X-ray on microglial M1 and M2 polarization[J]. Chin J Radiol Health, 2021, 30(3): 247-252. DOI: 10.13491/j.issn.1004-714X.2021.03.001
[16] 周燕. CT检查的辐射危害及控制策略[J]. 中国卫生产业,2017,14(21):50-51. DOI: 10.16659/j.cnki.1672-5654.2017.21.050
Zhou Y. Radiation hazard and control strategy of CT examination[J]. China Health Ind, 2017, 14(21): 50-51. DOI: 10.16659/j.cnki.1672-5654.2017.21.050