资阳市人民医院成功完成一例肺癌术后磨玻璃结节微波消融术
<!----><style type="text/css">html{font-size:375%}</style><link href="https://pic.app.jiuquhe.com/static/publish/css/style.css?v=1605251010503" rel="stylesheet" position="1" data-qf-origin="/static/publish/css/style.css?v=1605251010503"><!-- 付费贴--> <div class="preview_article "> <!----> <p class="empty_paragraph" style="text-align: center; margin-bottom: 0px;"> </p><section style="text-align: center; margin-bottom: 0px; line-height: normal;"></section><section style="margin-bottom: unset;"><section style="margin-top: 10px; margin-bottom: 10px;"><section style="background-color: #f4f8ff; padding: 12px 10px; margin-bottom: unset;"><section style="display: flex; justify-content: space-between; align-items: flex-end; margin-bottom: unset;"><section style="width: 40%; height: 2px; background-image: linear-gradient(90deg, #f4f8fe, #39c5ff); margin-bottom: unset; overflow: hidden; line-height: 0;"></section><section style="width: 30px; margin-bottom: -10px;"><p><img class="rich_pages wxw-img" style="width: 100%; display: block; vertical-align: bottom; height: auto !important;" src="https://pic.app.jiuquhe.com/FkZGuQ6toiH0KlZgrYhBKZGbpfFn" /></p></section><section style="width: 40%; height: 2px; background-image: linear-gradient(270deg, #f4f8fe, #39c5ff); margin-bottom: unset; overflow: hidden; line-height: 0;"></section></section><section><section><section><section><section><section style="text-indent: 2em; line-height: 2em; margin-top: 16px; margin-bottom: 16px;"><span style="font-size: 16px;"> 近日,资阳市人民医院胸外科在局麻CT引导下成功完成一例肺癌术后磨玻璃结节微波消融术,为肺内多发磨玻璃结节以及不宜手术的肺癌患者(病灶≤3cm)提供一种简便有效的治疗新选择。</span></section><section style="margin-bottom: unset;"><section style="margin: 10px auto;"><section style="display: flex; margin-bottom: unset;"><section style="flex-shrink: 0; margin-bottom: unset;"><section style="width: 5px; height: 40%; border-left: 1px solid #ffdb7d; border-bottom: 1px solid #ffdb7d; border-top: 1px solid #ffdb7d; overflow: hidden; margin-bottom: unset; line-height: 0;"></section></section><section style="width: 100%; margin-bottom: unset;"><section style="width: 30%; height: 5px; border-top: 1px solid #ffdb7d; border-right: 1px solid #ffdb7d; overflow: hidden; margin-bottom: unset; line-height: 0;"></section><section style="width: 100%; margin-bottom: unset;"><p><img class="rich_pages wxw-img" style="width: 548px; vertical-align: bottom; display: block; height: auto !important;" src="https://pic.app.jiuquhe.com/Fmw40OaeyBdIkM6ZByRUe153n6c4" /></p></section><section style="width: 20%; height: 5px; background-color: #ffc437; margin-left: auto; overflow: hidden; margin-bottom: unset; line-height: 0;"></section></section><section style="flex-shrink: 0; display: flex; align-items: flex-end; margin-bottom: unset;"><section style="width: 5px; height: 30%; background-color: #ffc437; overflow: hidden; margin-bottom: unset; line-height: 0;"></section></section></section></section></section><section style="line-height: 2em; margin-top: 16px; margin-bottom: 16px; text-indent: 0em;"></section></section></section></section></section><section style="text-indent: 2em; line-height: 2em; margin-bottom: 16px;"><span style="font-size: 16px;">患者是一名58的女性,此前已经历过2次肺部手术(一次右肺下叶切除、一次左肺下叶外后基底段切除),目前左肺上叶尖后段磨玻璃结节较前进展,考虑到第三次手术对身体创伤太大患者拒绝再次手术,在得知还可以选择微波消融,便来到资阳市人民医院胸外科就诊。</span></section><section style="text-indent: 2em; line-height: 2em; margin-bottom: 16px;"><span style="font-size: 16px;">经资阳市人民医院肺结节多学科团队讨论后在CT引导下微波消融治疗可行,对手术路径、消融方案及保障措施进行了详细计划,并在术前与患者及家属进行充分沟通。 由于术前考虑周全、准备充分和进针精准,资阳市人民医院胸外科团队在科主任李涛的带领下,仅用40分钟即完成了左肺上叶磨玻璃结节微波消融手术。</span></section><section style="text-indent: 2em; line-height: 2em; margin-bottom: 16px;"><span style="font-size: 16px;">术中CT下清晰可见“磨玻璃结节”经微波高温烧灼后因病变细胞出现坏死、碳化及周围邻近细胞出现渗出而表现为“密度增高、范围增大”。术后患者未发生气胸和出血等并发生,手术结束患者即可下床活动;术后24小时复查胸部CT见极少量气胸,病灶被消融带完全覆盖;术后48小时患者出院。</span></section><section style="margin-bottom: unset;"><section style="margin: 10px auto;"><section style="display: flex; margin-bottom: unset;"><section style="flex-shrink: 0; margin-bottom: unset;"><section style="width: 5px; height: 40%; border-left: 1px solid #ffdb7d; border-bottom: 1px solid #ffdb7d; border-top: 1px solid #ffdb7d; overflow: hidden; margin-bottom: unset; line-height: 0;"></section></section><section style="width: 100%; margin-bottom: unset;"><section style="width: 30%; height: 5px; border-top: 1px solid #ffdb7d; border-right: 1px solid #ffdb7d; overflow: hidden; margin-bottom: unset; line-height: 0;"></section><section style="width: 100%; margin-bottom: unset;"><p><img class="rich_pages wxw-img" style="width: 100%; vertical-align: bottom; display: block; height: auto !important;" src="https://pic.app.jiuquhe.com/FkoiEQUycEHlSPr5WuF30tGDqeWx" /></p></section><section style="width: 20%; height: 5px; background-color: #ffc437; margin-left: auto; overflow: hidden; margin-bottom: unset; line-height: 0;"></section></section><section style="flex-shrink: 0; display: flex; align-items: flex-end; margin-bottom: unset;"><section style="width: 5px; height: 30%; background-color: #ffc437; overflow: hidden; margin-bottom: unset; line-height: 0;"></section></section></section></section></section><section style="text-indent: 2em; line-height: 2em; margin-bottom: 16px;"></section><p style="text-align: center;"><span style="letter-spacing: 0.034em; font-size: 14px; color: #1e79e8;">▲消融前病灶约0.7cm大小磨玻璃结节。</span><img class="__bg_gif" style="font-size: var(--articleFontsize); letter-spacing: 0.034em; outline: 0px; vertical-align: initial; visibility: visible !important; width: 1px !important; height: auto !important;" src="https://pic.app.jiuquhe.com/FuO5NIeGvqy1ONz7HjvNrbU0aljE" /></p><section style="margin-bottom: unset;"><section style="margin: 10px auto;"><section style="display: flex; margin-bottom: unset;"><section style="flex-shrink: 0; margin-bottom: unset;"><section style="width: 5px; height: 40%; border-left: 1px solid #ffdb7d; border-bottom: 1px solid #ffdb7d; border-top: 1px solid #ffdb7d; overflow: hidden; margin-bottom: unset; line-height: 0;"></section></section><section style="width: 100%; margin-bottom: unset;"><section style="width: 30%; height: 5px; border-top: 1px solid #ffdb7d; border-right: 1px solid #ffdb7d; overflow: hidden; margin-bottom: unset; line-height: 0;"></section><section style="width: 100%; margin-bottom: unset;"><p><img class="rich_pages wxw-img" style="width: 100%; vertical-align: bottom; display: block; height: auto !important;" src="https://pic.app.jiuquhe.com/FgUur4lVUF5C2kx4djtAPAPP23wb" /></p></section><section style="width: 20%; height: 5px; background-color: #ffc437; margin-left: auto; overflow: hidden; margin-bottom: unset; line-height: 0;"></section></section><section style="flex-shrink: 0; display: flex; align-items: flex-end; margin-bottom: unset;"><section style="width: 5px; height: 30%; background-color: #ffc437; overflow: hidden; margin-bottom: unset; line-height: 0;"></section></section></section></section></section><p style="text-align: center;"><span style="font-size: 14px; text-align: center; letter-spacing: 0.034em; color: #1e79e8;">▲消融后见病灶被消融带完全覆盖。</span></p></section></section></section></section><section><section><section><section><p style="line-height: normal;"> </p></section></section></section></section><section style="margin-bottom: 0px; outline: 0px; font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; letter-spacing: 0.544px; text-wrap: wrap; background-color: #ffffff;"><section style="margin-top: 10px; margin-bottom: 10px; padding-left: 14px; outline: 0px; display: flex; justify-content: flex-start;"><section style="outline: 0px; display: flex; flex-direction: column;"><section style="margin-bottom: -20px; margin-left: -15px; outline: 0px; width: 65px; z-index: 9;"></section><section style="outline: 0px; display: flex; align-items: center;"><section style="outline: 0px; display: flex; align-items: center; background-color: #5fa1f2;"><section style="padding-left: 10px; outline: 0px; flex-shrink: 0; display: flex; align-items: center;"><section style="outline: 0px; width: 7px; height: 7px; border-radius: 100%; background-color: #ffffff; overflow: hidden;"></section></section><section style="padding: 4px 10px; outline: 0px; text-align: center; font-size: 16px; color: #ffffff;"><strong style="outline: 0px;">科普知识</strong></section></section><section style="outline: 0px; flex-shrink: 0;"><section style="outline: 0px; width: 0px; height: 1px; border-left: 15px solid #5fa1f2; border-top: 18px solid transparent; border-bottom: 18px solid transparent; overflow: hidden;"></section></section></section><section style="padding-right: 10px; outline: 0px;"><section style="outline: 0px; width: 108.188px; border-bottom: 1px solid #ffd083; height: 2px; overflow: hidden;"></section></section></section></section></section><p style="margin-bottom: 0px; outline: 0px; font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; letter-spacing: 0.544px; text-wrap: wrap; background-color: #ffffff;"><span style="outline: 0px; font-size: 15px;"> 肿瘤微波消融术是指利用热产生的生物学效应直接导致靶肿瘤发生凝固性坏死的原位灭活技术,微波消融针设计了巧妙的针道冷却系统,仅在针头预设范围内发热。其具有创伤小,疗效好、可重复、费用低和并发症少等优点,已临床被广泛应用,对于肺内多发结节,手术切除主要病灶后,残余病灶如果在随访过程中如果出现进展,消融治疗是非常好的手段,尤其是磨玻璃结节,效果能媲美手术,且相对于手术而言,显著的优势之一就是对肺功能的保护。</span></p><p class="empty_paragraph" style="text-align: center; margin-bottom: 0px;"> </p><p style="display: none;"> </p> <!----></div> 图上好像是参加河马直播的郑医生,点赞...医术精湛 医术精湛 医术精湛 医术精湛 医术精湛 医术精湛 医术高明 值得关注点赞。
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