摘要
热消融作为肿瘤的微创疗法之一,已在多个实体脏器肿瘤治疗中取得令人满意的疗效。相较其它肿瘤性病变,继发性甲状旁腺功能亢进(简称继发甲旁亢)热消融治疗具有特殊性。慢性肾功能不全患者体质较差,合并继发甲旁亢疾病病情复杂,围手术期管理需多学科协作,且继发甲旁亢病灶紧邻颈部多个重要结构,对术者消融技术细节要求高,如何做到疗效与安全并重,目前尚无指导性规范。本共识可为相关医生提供全面的技术细节指导,促进继发甲旁亢微创治疗的规范化。
As one of the minimally invasive treatments for tumors,thermal ablation has shown promising results in different kinds of solid tumors.However,the detail of thermal ablation for the treatment of secondary hyperparathyroidism(SHPT)has its own characteristics.On one hand,patients with chronic renal insufficiency have poor physical fitness and complicated comorbidities attributed to long-term mineral and bone disorder,the management of SHPT requires multidisciplinary cooperation.On the other hand,the SHPT lesions are generally adjacent to some critical structures in the neck,most of which are sensitive to thermal stimulation.Therefore,the details of the ablation technique are very important for operators to ensure the safety and efficiency.Up to now,there has been no guiding standard for thermal ablation of SHPT lesions.This consensus was carried out based on plenty of clinical practice,mass data and scientific research works,as well as the urgent need in clinic to standardize the application of thermal ablation for SHPT lesions.
出处
《中日友好医院学报》
CAS
2021年第4期195-202,共8页
Journal of China-Japan Friendship Hospital
基金
首都临床特色应用研究(Z181100001718135)
北京化工大学-中日友好医院生物医学转化工程研究中心2018年度联合基金(PYBZ1804)
首都卫生发展科研专项(2018-1-1112)。
