CT导向下125I放射性粒子植入治疗腹膜后淋巴结转移临床应用.pdfVIP

CT导向下125I放射性粒子植入治疗腹膜后淋巴结转移 临床应用 宁厚法张风莲 崔新江曹贵文韩金龙刘荣 潍坊医学院附属医院介入肿瘤科，山东潍坊261031 【摘要】目的探讨CT引导下125I放射性粒子植入术治疗腹膜后淋巴结转移的临床应用及效果。 治疗计划，然后在CT引导下行125I放射性粒子植入，植入后CT扫描观察粒子分布情况，之后每 月CT复查，观察病灶大小变化，并记录患者疼痛情况变化，分析治疗效果。结果25例中5例肿 瘤完全缓解，11例肿瘤局部部分缓解，5例病灶无变化，4例因局部进展并其他部位转移死亡， 局部控制率为64％。疼痛缓解明显。结论CT引导下125I放射性粒子植入术治疗腹膜后淋巴结 转移安全、有效，可以有效控制肿瘤生长，减轻腹部疼痛，改善患者生活质量，值得临床推广应 用。 【关键词】CT引导；125I放射性粒子；组织间植入；腹膜后淋巴结转移 ofCT Clinical GuidedInterstitial ofRadioactiveSeeds125Iforthe of study Implantation Therapy nodeMetastases Retroperitoneallymph NingHoufa，ZhangFenglian，Cui Guiwen，Han Xinjiang，Cao Jinlong，LiuRong ofInterventional Affiliatedof Medical Department Oncology,the HospitalWeifang University, Weifang，26103l，China To theclinicalvalueand ofCT interstitial [Abstract]0bjectivestudy efficacyguided implantation ofradioactive“3Iseedsforthe of node therapyretroperitoneallymphmetastases．Methods25cases with nodemetastasesweretreatedwithCT interstitial of retroperitoneallymph guided implantation radioactive“3IseedsTPS．Post CTreview were by operative SCanS performed after immediately effectwas CT SCanS month implantation．Thefollowed-upby repeatedevery post operation．Thechange of wasrecorded．ResultsTheseedsof25casesweredistributed inthe pain successfull