肺癌介入治疗有哪些优缺点 金儿 浙江大学医学院附属杭州市第一人民医院
介入治疗的优点:创伤比较小,它相对是根据手术而言的,外科手术或某种原因晚期已经不能外科手术了,或者因为身体状况不能外科手术,还有就是外科手术难度非常高的,也不能外科手术,这样病人就可以介入治疗,它创伤比较小,比如支气管动脉下灌注也好,支气管动脉下化疗也好,或气管镜下做介入、做氩气刀、做射频消融、做冷冻、放粒子等,像这样的病人就是创伤比较小,尤其是对一些老年无法手术的病人,在气管、支气管镜下做消融手术也可以达到达到根治的目的。所以创伤比较小,病人比较容易耐受,痛苦也是比较小的,这个就是做介入治疗一个非常大的优势。肺癌介入治疗的缺点:介入治疗费用比较高,介入治疗可能要多次去做,像一个射频消融不可能一次性就把肿块全部就治掉了,或者气管内的切除,可能也要几次把它切除下来,后面可能切除之后再放支架,步骤会相对比较多。
Advantages and disadvantages of interventional therapy for lung cancer
Advantages of interventional therapy: less trauma, It's relatively based on surgery, Surgery, or for some reason, is no longer available, Or because of a physical condition that doesn't allow surgery, And the difficulty of surgery is very high, No surgery, So patients can get involved, It's less traumatic, For example, it's better to have subarterial perfusion, Chemotherapy under the bronchial artery is good, Or under the tracheoscope, we can do intervention, argon knife, radiofrequency ablation, freezing, particle emission, etc, Patients like this have less trauma, Especially for some elderly patients who are unable to operate, It can also achieve the goal of radical cure by ablation under tracheoscope and bronchoscope. So the trauma is relatively small, Patients are more tolerant, The pain is relatively small, This is a great advantage of interventional therapy. Disadvantages of interventional therapy for lung cancer: the cost of interventional therapy is relatively high, Interventional therapy may have to be done many times, Like a radiofrequency ablation, it's impossible to cure all the masses at once, Or endotracheal resection, It may have to be removed several times, The back may be cut off before the stent is placed, There will be relatively many steps.