CT guided radioactive seed implantation of iodine 125 in the treatment of malignant tumors.docVIP

 PAGE \* MERGEFORMAT 7 CT guided radioactive seed implantation of iodine 125 in the treatment of malignant tumors [Abstract] I125 seed implantation of radioactive iodine in the treatment of advanced cancer curative effect satisfaction, can improve the quality of life. [Keywords:] I125 CT guided radioactive seed implantation iodine TPS program for advanced cancer 1 Materials and methods 1.1 Materials GE light speed 16 CT machine, half-life of 59.6 ~ 60.2 days, 27.43 ~ 1.5Kev of energy X-ray and -ray sources I125 35.5Kev of iodine particles from titanium closed. Dedicated I125 seed implantation needle iodine two, a surgical pack, 0.9% saline 200ml bottles. 1.2 Firstly, according to the patient’s CT, MRI film to determine the scan position, can sit, side, prone, head first or feet can be advanced, in principle, subject to facilitate the operation the surgeon to the needle depth, and vertical clip the principle of the minimum angle. Second the tumor thickness, layers are 2-5mm from the scan, the tumor can choose larger 10mm thick, layer away from the scan. In order to avoid damage during puncture of blood vessels surrounding the tumor, it is necessary to the edge of the great vessels with unclear boundaries of the tumor are enhanced scan. to understand the relationship between the tumor and surrounding organs and lymph node metastasis. measured tumor length, width and thickness and the preoperative treatment plan to develop a good contrast, good puncture to determine position, the depth of the needle, angle and number of particles implanted. and then set the body surface location of the puncture. can be properly labeled in vitro to determine the best scanning position of the needle. to determine the location of needle after local disinfection, covered disinfectant towels, with 5 ~ 10ml of 5% lidocaine for local anesthesia, anesthesia puncture according to established plans, in order to understand whether the needle is inserted into the tumor,