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肺癌微波消融:术前准备

时间:2020-03-03 23:33来源:未知 作者:admin
1. 门诊准备 2. 入院准备 - entails(必需) taking a history bleeding diathesis anticoagulants and antiplatelet agents Medical comorbidities screened for the presence of cardiac devices,because the energy from RFA may potentially interfere
1. 门诊准备
2. 入院准备
 - entails(必需) taking a history

     bleeding diathesis 
     anticoagulants and antiplatelet agents
     Medical comorbidities
     screened for the presence of cardiac devices,because the energy from RFA may potentially interfere with pacemakers or defibrillators

 - physical examination 

-  assessed to determine the safety of administering moderate conscious sedation or general anesthesia

- 影像学评估:computed tomography and/or fluorodeoxyglucose positron emission tomography, are important for assessing tumor size and proximity to neurovascular structures as well as for selecting the type, number, and trajectory of ablation probes (27). An inherent limitation of non-surgical therapy is the inability to systematically assess for nodal disease. In one study, among patients with clinical stage I NSCLC, 13.8% of patients were upstaged to N1 disease on final surgical pathology and an additional 3.5% upstaged to N2 disease (28). The presence of nodal or extra-thoracic disease is generally a contraindication to thermal ablation unless the goal of the treatment is palliative.

- 知情同意书
3.术前一天准备
4. 手术当日病房准备:晨起禁食水
5. 手术室准备
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