70岁以上老年肺癌患者射频消融安全性分析

摘要

目的分析70岁以上老年肺癌患者射频消融治疗的安全性。方法对2008年1月至2012年12月在首都医科大学宣武医院胸外科进行肺癌射频消融治疗的患者共263例，选择其中年龄≥70岁的167例作为老年组，＜70岁的96例作为对照组，比较两组患者的手术成功率、术后并发症及术后平均住院日情况，运用SPSS 13.0软件包进行统计分析，组间资料采用两组独立样本比较的t检验和χ2检验。结果老年组手术成功率为95.21％，对照组为96.88％。两组间差异无统计学意义（ P＞0.05）。老年组术后并发症共19例（11.38％），对照组并发症5例（5.21％）。两组间并发症发生率差异无统计学意义（ P＞0.05）。术后平均住院日，老年组为（2.7±1.3）d，对照组为（2.5±1.1）d，两组间差异无统计学意义（P＞0.05）。结论70岁以上老年肺癌患者行射频消融是安全的治疗手段。%Objective To evaluate the safety of radiofrequency ablation ( RFA) in lung cancer patients above 70 years old.Methods The lung cancer patients given RFA treatment from January 2008 to December 2012 were selected in this study as follows:167 patients in the experimental group whose ages were older than 70 years,and 96 patients as the control group whose ages were less than 70 years.The success rates of operation , postoperative complications and averagehospitalization days were studied in two groups .Results The success rates of operation in the experimental group and the control group were 95.21% and 96.88%, respectively .There was no significant difference between two groups ( P>0.05 ) .The cases with postoperative complications in patients above 70 years old were 19(11.38%).There were 5 cases(5.21%)with complications of RFA in control group ,there was no significant difference of the complications of RFA between two groups ( P>0.05 ) ,and there was no significant difference of the average hospitalization days between two groups [(2.7 ±1.3)d vs.(2.5 ±1.1)d,P>0.05].Conclusion RFA in lung cancer is a safe treatment method in patients above 70 years old.