消化指南

订阅

MedSci主页 / 所有栏目 / 消化指南

结直肠癌肝转移瘤热消融治疗国际专家共识分享

2018-06-10 中国介入影像与治疗学.2018.15(6):323-326.

结直肠癌肝转移瘤热消融治疗

肝转移是结直肠癌致死的最主要原因，手术切除是其首选治疗方式。然而，临床可手术切除的肝转移瘤仅占全部肝转移瘤的１０％～２５％，对不可切除的肝转移瘤通常采用系统化疗和／或局部消融治疗。近年来热消融技术的治疗效率和安全性日益提高，术后患者５年生存率高于单纯化疗。２０１３年国际消融专家组发布了结直肠癌肝转移瘤热消融治疗国际专家共识，基于射频消融相关应用的长期随访文献，总结热消融治疗在结直肠癌肝转移瘤治疗中

中文标题：

结直肠癌肝转移瘤热消融治疗国际专家共识分享

发布机构：

发布日期：

2018-06-10

简要介绍：

肝转移是结直肠癌致死的最主要原因，手术切除是其首选治疗方式。然而，临床可手术切除的肝转移瘤仅占全部肝转移瘤的１０％～２５％，对不可切除的肝转移瘤通常采用系统化疗和／或局部消融治疗。近年来热消融技术的治疗效率和安全性日益提高，术后患者５年生存率高于单纯化疗。２０１３年国际消融专家组发布了结直肠癌肝转移瘤热消融治疗国际专家共识，基于射频消融相关应用的长期随访文献，总结热消融治疗在结直肠癌肝转移瘤治疗中的具体推荐及相关适应证。本文对该共识的主要内容进行介绍与分享。 

作者： 中山大学附属第六医院 陈丽梅 刘广健 邓艳红 黄美近 文艳玲 汪建平

拓展指南：与结直肠癌相关指南：

相关资料下载：
[AttachmentFileName(sort=100, fileName=结直肠癌肝转移瘤热消融治疗国际专家共识分享)] GetToolGuiderByIdResponse(projectId=1, id=140e51c00160ea5e, title=结直肠癌肝转移瘤热消融治疗国际专家共识分享, enTitle=, guiderFrom=中国介入影像与治疗学.2018.15(6):323-326., authorId=null, author=, summary=肝转移是结直肠癌致死的最主要原因，手术切除是其首选治疗方式。然而，临床可手术切除的肝转移瘤仅占全部肝转移瘤的１０％～２５％，对不可切除的肝转移瘤通常采用系统化疗和／或局部消融治疗。近年来热消融技术的治疗效率和安全性日益提高，术后患者５年生存率高于单纯化疗。２０１３年国际消融专家组发布了结直肠癌肝转移瘤热消融治疗国际专家共识，基于射频消融相关应用的长期随访文献，总结热消融治疗在结直肠癌肝转移瘤治疗中, cover=, journalId=null, articlesId=null, associationId=null, associationName=, associationIntro=, copyright=0, guiderPublishedTime=Sun Jun 10 00:00:00 CST 2018, originalUrl=, linkOutUrl=, content=<div>肝转移是结直肠癌致死的最主要原因，手术切除是其首选治疗方式。然而，临床可手术切除的肝转移瘤仅占全部肝转移瘤的１０％～２５％，对不可切除的肝转移瘤通常采用系统化疗和／或局部消融治疗。近年来热消融技术的治疗效率和安全性日益提高，术后患者５年生存率高于单纯化疗。２０１３年国际消融专家组发布了结直肠癌肝转移瘤热消融治疗国际专家共识，基于射频消融相关应用的长期随访文献，总结热消融治疗在结直肠癌肝转移瘤治疗中的具体推荐及相关适应证。本文对该共识的主要内容进行介绍与分享。 </div> <div><br> </div>作者： 中山大学附属第六医院 陈丽梅 刘广健 邓艳红 黄美近 文艳玲 汪建平 <div><br> </div> 拓展指南：<strong>与<font color=red>结直肠癌</font>相关指南：</strong><br><ul><li><a href="http://www.medsci.cn/guideline/show_article.do?id=fc2d81c00160218c" title="2018 JSMO临床指南：结直肠癌治疗的分子检测（第3版）" target=_blank>2018 JSMO临床指南：结直肠癌治疗的分子检测（第3版）</a></li> <li><a href="http://www.medsci.cn/guideline/show_article.do?id=c45a31c0015991f5" title="2018 ACS指南：平均风险成年人群结直肠癌筛查" target=_blank>2018 ACS指南：平均风险成年人群结直肠癌筛查</a></li> <li><a href="http://www.medsci.cn/guideline/show_article.do?id=61f141c0015906c8" title="中国医促会结直肠癌肝转移分会结直肠癌肝转移MDT诊治共识（讨论版）" target=_blank>中国医促会结直肠癌肝转移分会结直肠癌肝转移MDT诊治共识（讨论版）</a></li> <li><a href="http://www.medsci.cn/guideline/show_article.do?id=34f741c00158ae8a" title="结直肠癌分子生物标志物检测专家共识" target=_blank>结直肠癌分子生物标志物检测专家共识</a></li> <li><a href="http://www.medsci.cn/guideline/show_article.do?id=f9fab1c0015e780e" title="NCCN临床实践指南：结直肠癌筛查（2018.V1）" target=_blank>NCCN临床实践指南：结直肠癌筛查（2018.V1）</a></li> 更多信息请点击：<a href="http://www.medsci.cn/guideline/list.do?q=%E7%BB%93%E7%9B%B4%E8%82%A0%E7%99%8C" target=_blank>有关结直肠癌更多指南</a></ul>, tagList=[TagDto(tagId=76845, tagName=结直肠癌肝转移瘤), TagDto(tagId=37332, tagName=热消融治疗)], categoryList=[CategoryDto(categoryId=4, categoryName=消化, tenant=100), CategoryDto(categoryId=5, categoryName=肿瘤科, tenant=100), CategoryDto(categoryId=21100, categoryName=达仁堂循证e学界, tenant=100)], articleKeywordId=null, articleKeyword=null, articleKeywordNum=null, guiderKeywordId=null, guiderKeyword=null, guiderKeywordNum=null, haveAttachments=1, attachmentList=null, guiderType=0, guiderArea=共识, guiderLanguage=1, guiderRegion=3, opened=0, paymentType=null, paymentAmount=10, recommend=0, recommendEndTime=null, sticky=0, stickyEndTime=null, allHits=5462, appHits=285, showAppHits=0, pcHits=4047, showPcHits=1654, likes=139, shares=9, comments=9, approvalStatus=1, publishedTime=Tue Jun 26 22:31:38 CST 2018, publishedTimeString=2018-06-10, pcVisible=1, appVisible=1, editorId=2020535, editor=qiushida2, waterMark=0, formatted=0, memberCards=[], isPrivilege=0, deleted=0, version=1, createdBy=null, createdName=qiushida2, createdTime=Tue Jun 26 22:31:38 CST 2018, updatedBy=null, updatedName=null, updatedTime=Fri Jan 05 16:11:16 CST 2024, courseDetails=[], otherVersionGuiders=[], isGuiderMember=false, ipAttribution=, attachmentFileNameList=[AttachmentFileName(sort=100, fileName=结直肠癌肝转移瘤热消融治疗国际专家共识分享)])
结直肠癌肝转移瘤热消融治疗国际专家共识分享
下载请点击：
评论区 (9)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=327473, encodeId=a77432e47369, content=学习了.谢谢, beContent=null, objectType=guider, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/10/23/557c1f19aaf5459a8405411e38903c4b.jpg, createdBy=dfc02088287, createdName=cscdliu, createdTime=Wed Jun 27 17:04:21 CST 2018, time=2018-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=327407, encodeId=43b632e407bf, content=学习了受益匪浅, beContent=null, objectType=guider, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDicHg2ldsSNmib46PmdzpO7CQEmPjuULp1v45zPWwMYhrnXgvl3OtmUCZSQfgITWn96X9moL94nUGA/0, createdBy=28072041016, createdName=131****1460, createdTime=Wed Jun 27 10:16:26 CST 2018, time=2018-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=327386, encodeId=adc632e38658, content=术后患者5年生存率高于单纯化疗.2013年国际消融专家组发布了结直肠癌肝转移瘤热消融治疗国际专家共识.基于射频消融相关应用的长期随访文献, beContent=null, objectType=guider, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/101296147/335799A6282586D40DA54E3A46908076/100, createdBy=44921728518, createdName=solo00ea917f, createdTime=Wed Jun 27 08:27:31 CST 2018, time=2018-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=327385, encodeId=648632e385ee, content=真的有用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/101296147/335799A6282586D40DA54E3A46908076/100, createdBy=44921728518, createdName=solo00ea917f, createdTime=Wed Jun 27 08:27:11 CST 2018, time=2018-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=327379, encodeId=8e3b32e37998, content=学习谢谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4Nd44v3xHnnictn9UpctwtH62EPQ59TMdI9lnqHMgQ16nH7GmGCfpzicsHgjibYVk6vwSpXrC86gMibRkoaIzf5HwSz7/0, createdBy=78cc1691107, createdName=龙胆草, createdTime=Wed Jun 27 08:21:28 CST 2018, time=2018-06-27, status=1, ipAttribution=)]
    2018-06-27 cscdliu

    学习了.谢谢

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=327473, encodeId=a77432e47369, content=学习了.谢谢, beContent=null, objectType=guider, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/10/23/557c1f19aaf5459a8405411e38903c4b.jpg, createdBy=dfc02088287, createdName=cscdliu, createdTime=Wed Jun 27 17:04:21 CST 2018, time=2018-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=327407, encodeId=43b632e407bf, content=学习了受益匪浅, beContent=null, objectType=guider, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDicHg2ldsSNmib46PmdzpO7CQEmPjuULp1v45zPWwMYhrnXgvl3OtmUCZSQfgITWn96X9moL94nUGA/0, createdBy=28072041016, createdName=131****1460, createdTime=Wed Jun 27 10:16:26 CST 2018, time=2018-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=327386, encodeId=adc632e38658, content=术后患者5年生存率高于单纯化疗.2013年国际消融专家组发布了结直肠癌肝转移瘤热消融治疗国际专家共识.基于射频消融相关应用的长期随访文献, beContent=null, objectType=guider, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/101296147/335799A6282586D40DA54E3A46908076/100, createdBy=44921728518, createdName=solo00ea917f, createdTime=Wed Jun 27 08:27:31 CST 2018, time=2018-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=327385, encodeId=648632e385ee, content=真的有用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/101296147/335799A6282586D40DA54E3A46908076/100, createdBy=44921728518, createdName=solo00ea917f, createdTime=Wed Jun 27 08:27:11 CST 2018, time=2018-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=327379, encodeId=8e3b32e37998, content=学习谢谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4Nd44v3xHnnictn9UpctwtH62EPQ59TMdI9lnqHMgQ16nH7GmGCfpzicsHgjibYVk6vwSpXrC86gMibRkoaIzf5HwSz7/0, createdBy=78cc1691107, createdName=龙胆草, createdTime=Wed Jun 27 08:21:28 CST 2018, time=2018-06-27, status=1, ipAttribution=)]
    2018-06-27 131****1460

    学习了受益匪浅

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=327473, encodeId=a77432e47369, content=学习了.谢谢, beContent=null, objectType=guider, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/10/23/557c1f19aaf5459a8405411e38903c4b.jpg, createdBy=dfc02088287, createdName=cscdliu, createdTime=Wed Jun 27 17:04:21 CST 2018, time=2018-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=327407, encodeId=43b632e407bf, content=学习了受益匪浅, beContent=null, objectType=guider, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDicHg2ldsSNmib46PmdzpO7CQEmPjuULp1v45zPWwMYhrnXgvl3OtmUCZSQfgITWn96X9moL94nUGA/0, createdBy=28072041016, createdName=131****1460, createdTime=Wed Jun 27 10:16:26 CST 2018, time=2018-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=327386, encodeId=adc632e38658, content=术后患者5年生存率高于单纯化疗.2013年国际消融专家组发布了结直肠癌肝转移瘤热消融治疗国际专家共识.基于射频消融相关应用的长期随访文献, beContent=null, objectType=guider, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/101296147/335799A6282586D40DA54E3A46908076/100, createdBy=44921728518, createdName=solo00ea917f, createdTime=Wed Jun 27 08:27:31 CST 2018, time=2018-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=327385, encodeId=648632e385ee, content=真的有用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/101296147/335799A6282586D40DA54E3A46908076/100, createdBy=44921728518, createdName=solo00ea917f, createdTime=Wed Jun 27 08:27:11 CST 2018, time=2018-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=327379, encodeId=8e3b32e37998, content=学习谢谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4Nd44v3xHnnictn9UpctwtH62EPQ59TMdI9lnqHMgQ16nH7GmGCfpzicsHgjibYVk6vwSpXrC86gMibRkoaIzf5HwSz7/0, createdBy=78cc1691107, createdName=龙胆草, createdTime=Wed Jun 27 08:21:28 CST 2018, time=2018-06-27, status=1, ipAttribution=)]
    2018-06-27 solo00ea917f

    术后患者5年生存率高于单纯化疗.2013年国际消融专家组发布了结直肠癌肝转移瘤热消融治疗国际专家共识.基于射频消融相关应用的长期随访文献

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=327473, encodeId=a77432e47369, content=学习了.谢谢, beContent=null, objectType=guider, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/10/23/557c1f19aaf5459a8405411e38903c4b.jpg, createdBy=dfc02088287, createdName=cscdliu, createdTime=Wed Jun 27 17:04:21 CST 2018, time=2018-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=327407, encodeId=43b632e407bf, content=学习了受益匪浅, beContent=null, objectType=guider, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDicHg2ldsSNmib46PmdzpO7CQEmPjuULp1v45zPWwMYhrnXgvl3OtmUCZSQfgITWn96X9moL94nUGA/0, createdBy=28072041016, createdName=131****1460, createdTime=Wed Jun 27 10:16:26 CST 2018, time=2018-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=327386, encodeId=adc632e38658, content=术后患者5年生存率高于单纯化疗.2013年国际消融专家组发布了结直肠癌肝转移瘤热消融治疗国际专家共识.基于射频消融相关应用的长期随访文献, beContent=null, objectType=guider, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/101296147/335799A6282586D40DA54E3A46908076/100, createdBy=44921728518, createdName=solo00ea917f, createdTime=Wed Jun 27 08:27:31 CST 2018, time=2018-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=327385, encodeId=648632e385ee, content=真的有用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/101296147/335799A6282586D40DA54E3A46908076/100, createdBy=44921728518, createdName=solo00ea917f, createdTime=Wed Jun 27 08:27:11 CST 2018, time=2018-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=327379, encodeId=8e3b32e37998, content=学习谢谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4Nd44v3xHnnictn9UpctwtH62EPQ59TMdI9lnqHMgQ16nH7GmGCfpzicsHgjibYVk6vwSpXrC86gMibRkoaIzf5HwSz7/0, createdBy=78cc1691107, createdName=龙胆草, createdTime=Wed Jun 27 08:21:28 CST 2018, time=2018-06-27, status=1, ipAttribution=)]
    2018-06-27 solo00ea917f

    真的有用

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=327473, encodeId=a77432e47369, content=学习了.谢谢, beContent=null, objectType=guider, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/10/23/557c1f19aaf5459a8405411e38903c4b.jpg, createdBy=dfc02088287, createdName=cscdliu, createdTime=Wed Jun 27 17:04:21 CST 2018, time=2018-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=327407, encodeId=43b632e407bf, content=学习了受益匪浅, beContent=null, objectType=guider, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDicHg2ldsSNmib46PmdzpO7CQEmPjuULp1v45zPWwMYhrnXgvl3OtmUCZSQfgITWn96X9moL94nUGA/0, createdBy=28072041016, createdName=131****1460, createdTime=Wed Jun 27 10:16:26 CST 2018, time=2018-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=327386, encodeId=adc632e38658, content=术后患者5年生存率高于单纯化疗.2013年国际消融专家组发布了结直肠癌肝转移瘤热消融治疗国际专家共识.基于射频消融相关应用的长期随访文献, beContent=null, objectType=guider, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/101296147/335799A6282586D40DA54E3A46908076/100, createdBy=44921728518, createdName=solo00ea917f, createdTime=Wed Jun 27 08:27:31 CST 2018, time=2018-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=327385, encodeId=648632e385ee, content=真的有用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/101296147/335799A6282586D40DA54E3A46908076/100, createdBy=44921728518, createdName=solo00ea917f, createdTime=Wed Jun 27 08:27:11 CST 2018, time=2018-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=327379, encodeId=8e3b32e37998, content=学习谢谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4Nd44v3xHnnictn9UpctwtH62EPQ59TMdI9lnqHMgQ16nH7GmGCfpzicsHgjibYVk6vwSpXrC86gMibRkoaIzf5HwSz7/0, createdBy=78cc1691107, createdName=龙胆草, createdTime=Wed Jun 27 08:21:28 CST 2018, time=2018-06-27, status=1, ipAttribution=)]
    2018-06-27 龙胆草

    学习谢谢分享

    0