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心脏瓣膜病合并巨大左心室51例术后近中期疗效观察

C 臂 CT 引导下微波消融治疗非小细胞肺癌的近期疗效观察

目的探讨 C 臂 CT 引导下微波消融治疗非小细胞肺癌的安全性及有效性，总结围术期并发症的危险因素及处理办法。方法回顾性分析 2014 年 10 月至 2016 年 10 月我院46例非小细胞肺癌患者在 C 臂 CT 引导下行微波消融治疗的临床资料，其中男 34 例、女 12 例，年龄 71（44～83）岁。分析无进展生存期、总生存期、围术期并发症。结果46 例患者实施了微波消融治疗，消融功率 60（45～70）W，消融时间 8（4～15）min。成功率 100.00%，完全消融率 84.91%（45/53），中位随访时间为 14（5～24）个月, 1、2 年生存率为 74.31%、28.36%；中位无进展生存期为 13 个月［95%CI（10.42，15.58）］，中位总生存期为 16 个月［95%CI（13.24，18.76）］。并发症发生率 19.57%（9/46），其中气胸 8.69%（4/46）；不良反应发生率 43.48%（20/46），其中胸痛 30.43%（14/46），围术期无严重并发症。结论C 臂 CT 引导下经皮微波消融治疗非小细胞肺癌是一种安全、有效的治疗方法，值得推广。

Epidemiological research on inpatients with skin cancer in China

ObjectivesTo analyze the epidemiological characteristics of inpatients with skin cancer in China.MethodsThe medical records of all inpatients with skin cancer in second-level and above hospitals in China from 2015 to 2017 were collected, and the demographic characteristics and regional distribution of inpatients were retrospectively analyzed.ResultsFrom 2015 to 2017, the quantity of inpatients with skin cancer in China increased annually. The ratio of male to female was 1.09 to 1, individuals aged 60 to 70 were high incidence age group, and the occupation was primarily farmers. Guangdong province had the largest quantity of inpatients. Among geographic regions, the proportion of inpatients in East China was the largest (34.20%). Among economic regions, the proportion of inpatients in the east was the largest (45.86%).ConclusionsThe quantity of inpatients with skin cancer in China is on the rise, and there are obvious spatial differences. Therefore, more attention should be paid to the prevention and treatment of skin cancer.