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术前局部注射131I-3H11导向治疗胃癌的临床研究

Clinical study of preoperative immunoguiding therapy of intratumor injection of 131 I-3H11 for gastric carcinoma

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【作者】 郭文斌姜彦波姜清华梁怀祝高众

【Author】 GUO Wen bin, JIANG Yan bo, JIANG Qing hua, LIANG Hua zhu, GAO Zhong (Department of General Surgery, Central Hospital of Dalian City, Dalian, Liaoning 116033, China)

【机构】 辽宁省大连市中心医院普外二科!辽宁大连116033

【摘要】 目的 探讨术前应用免疫导向技术治疗胃癌的临床效果。方法 以应用 1 31 I -3H 11对 16例胃癌病人术前行内镜下癌灶多点注射作为治疗组 ;选择 6例胃癌病人采用FAM方案化疗作为对照组。并对术后标本进行观察。结果 术后病理检查治疗组发现 75 .0 %(12 16 )出现癌细胞核固缩、碎裂、细胞浆凝固、细胞间质出现炎性细胞浸润 ;这些变化多以中度为主 ,重度及无变化较少 ;而对照组无明显变化。结论 作为胃癌的综合治疗方法 ,术前胃癌局部注射1 31 I - 3H 11具有临床应用前景

【Abstract】 Objective To investigate the effect of intratumor injection of 131 I 3H11 for gastric cancer (GC). Methods 16 patients with GC subjected to endoscopic intratumor injection of 131 I 3H11 as a treatment group; 6 GC patients with FAM chemotherapy as a control group. Histological examination of the postoperative specimens of the two group were comparated. Results In treatment group, 75.0%(12/16) of cases were found to have morphological changes with karyopyknosis, karyorrhexis, coagulation of cytoplasm, and invasion of lymphocyte in mesochyma. Most of these changes were medial; but in control group no obvious morphological change was found. Conclusions The results suggest that GC subjected to endoscopic intratumor injection of 131 I 3H11 preoperatively has promising application in the clinic.

  • 【文献出处】 中国普通外科杂志 ,Chinese Journal of General Surgery , 编辑部邮箱 ,2001年03期
  • 【分类号】R735.2
  • 【被引频次】2
  • 【下载频次】25
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