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碘125粒子立体种植治疗晚期肿瘤

Iodine-125 seed implantation in the treatment of later-stage carcinoma

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【作者】 池捷王晖吴关慧

【Author】 Chi Jie 1, Wang Hui 2, Wu Guanhui 1. 1 Guanghua Hospital, Shanghai, 200052. 2 Department of Infectious diseases, Ruijing Hospital, Second Medical University of Shanghai

【机构】 上海市长宁区光华中西医结合医院上海第二医科大学瑞金医院感染科上海市长宁区光华中西医结合医院 200052200052

【摘要】 目的 :研究一种新的组织间低能碘 12 5 (12 5I)粒子植入治疗晚期肿瘤。方法 :5 2例晚期肿瘤患者手术中直视下植入病灶。根据肿瘤病灶的大小、位置、转移灶的多少等计算出12 5I粒子的粒数。每粒种子 0 9mci,每例患者一次植入总量在 30mci以下。结果 :本组病例中完全缓解占 5 77%,部分缓解占 6 9 2 3%,无恶化 17 3%,恶化7 6 9%。总有效率 75 %,平均缓解期 4个月。无明显不良反应。结论 :可通过术中直视或超声波定位下顺利地将碘 12 5粒子放疗 ,种植入癌灶内进行组织间 ,疗效较好 ,且安全。

【Abstract】 Objective: To study a new brachytherapy method of low activity Iodine-125( 125I) seed implant in the treatment of later-stage carcinomas. Methods:By direct sight or B-ultrasound, 125I seeds were implanted into the cancerous tissue of 52 patients with later-stage carcinoma. We counted the number of the Iodine-125 according to the size, the position of the cancerous tissue and the other factors, A 125I seed is 0.9 millicuries (mci) and one patient was implanted lower than 30 mci. Results: CR, PR, AC, PD rate were 5.77%, 69.23%,17.23%,7.69% respectively. The total effective rate were 75%. Average recovery was four months. No adverse reaction is found. Conclusion: The 125I seed can be smoothly implanted into the carcinoma by direct sight or B-ultrasound. This is effective and safe in the treatment of later-stage carcinoma.

【关键词】 碘125粒子种植晚期肿瘤
【Key words】 125Iodine seedImplantationLater-stage carcinoma
  • 【文献出处】 广州医药 ,Guangzhou Medical Journal , 编辑部邮箱 ,2003年05期
  • 【分类号】R730.55
  • 【被引频次】27
  • 【下载频次】152
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