[1]吴 娟,隋爱霞,张宏涛,等.CT引导下125I粒子治疗腹膜后恶性肿瘤穿刺路径分析[J].介入放射学杂志,2015,(10):902-905.
 WU Juan,SUI Ai- xia,ZHANG Hong- tao,et al.CT- guided 125I seed implantation for the treatment of retroperitoneal malignant tumors: analysis of puncturing approaches [J].journal interventional radiology,2015,(10):902-905.
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CT引导下125I粒子治疗腹膜后恶性肿瘤穿刺路径分析 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2015年10期
页码:
902-905
栏目:
临床研究
出版日期:
2015-10-25

文章信息/Info

Title:
CT- guided 125I seed implantation for the treatment of retroperitoneal malignant tumors: analysis of puncturing approaches 
作者:
吴 娟 隋爱霞 张宏涛 于慧敏 高 贞 王 娟
Author(s):
WU Juan SUI Ai- xia ZHANG Hong- tao YU Hui- min GAO Zhen WANG Juan
Department of Oncology, Hebei Provincial People’s Hospital, Shijiazhuang, Hebei Province 050051, China
关键词:
【关键词】 腹膜后恶性肿瘤 125I粒子 介入治疗
文献标志码:
A
摘要:
摘要】 目的 分析CT引导下125I粒子治疗腹膜后恶性肿瘤不同穿刺路径的安全性及可行性。方法 回顾性分析25例CT引导下经肝、经胃、经十二指肠、经肠系膜间、经胸腰髂肋肌行125I粒子植入治疗的腹膜后肿瘤患者,其中腹膜后淋巴结转移癌21例、胰腺癌4例。患者术前均行充分的肠道准备,应用近距离治疗计划系统(TPS)制定术前计划;CT引导下,根据病灶位置不同选择相应的穿刺路径,采用1~3支植入针植入125I粒子;术后即刻扫描CT行验证计划。结果 25例均顺利完成手术,经肝路径21例,经胃路径9例,经十二指肠路径2例,经肠系膜路径2例,经胸腰髂肋肌路径5例。术后所有患者均未出现出血、腹膜炎、呕血、黑便等穿刺相关并发症。术前与术后粒子总活度、粒子数目及周边剂量(D90)差异无统计学意义。结论 以上5种穿刺路径安全、可行;经空腔脏器植入时,需要有严格的外科围手术期管理措施。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2014-12-14)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2015-10-19