[1]朱先海,王伟昱,秦汉林,等.CT引导放射性125I粒子植入治疗纵隔转移瘤11例 [J].介入放射学杂志,2017,(07):632-635.
 ZHU Xianhai,WANG Weiyu,QING Hanlin,et al.CT- guided radioactive 125I seed implantation for the treatment of mediastinal metastases: initial results in 11 patients[J].journal interventional radiology,2017,(07):632-635.
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CT引导放射性125I粒子植入治疗纵隔转移瘤11例
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2017年07期
页码:
632-635
栏目:
非血管介入
出版日期:
2017-07-25

文章信息/Info

Title:
CT- guided radioactive 125I seed implantation for the treatment of mediastinal metastases: initial results in 11 patients
作者:
朱先海 王伟昱 秦汉林 施长杲 许 军 谢 韬 周 磊
Author(s):
ZHU Xianhai WANG Weiyu QING Hanlin SHI Changgao XU Jun XIA Tao ZHOU Lei
Department of Interventional Oncology, Anhui Provincial Tumor Hospital, West Branch of Anhui Provincial Hospital, Hefei, Anhui Province 230061, China
关键词:
【关键词】 纵隔淋巴结转移瘤 125I粒子植入 近距离放射治疗
文献标志码:
A
摘要:
【摘要】 目的 探讨CT引导放射性125I 植入治疗纵隔淋巴结转移瘤的方法、安全性和临床疗效。方法 对11例纵隔淋巴结转移瘤患者行CT引导下放射性125I粒子植入治疗,术前采用近距离治疗计划系统(TPS)制定计划,选择粒子活度:(1.11~2.96)×107Bq(0.3~0.8 mCi),术后观察并发症发生情况,术后1、3、6、12个月评价肿瘤局部控制率、疼痛缓解有效率。结果 术后出现气胸3例,气管瘘1例,肺部感染1例。随访1、3、6、12个月,患者局部控制率为81.8%、90.9%、72.7%、72.7%;疼痛缓解有效率,1周100%、1个月90.9%、3个月90.9%、6个月81.8%、12个月72.7%。结论 CT引导放射性125I粒子植入治疗纵隔转移瘤创伤小、并发症少、局部病灶控制率确切,是一种较为安全的治疗方法。

参考文献/References:

[1] 姜 勇, 赵 明, 吴沛宏, 等. CT导向下125I粒子植入治疗纵隔区残留或复发转移淋巴结[J]. 中山大学学报?医学科学版, 2009, 30: 117- 121.
[2] 明德国, 于香红, 李振家, 等. CT导向下人工气胸后125I粒子植入治疗纵隔淋巴结转移的临床应用[J]. 实用放射学杂志, 2010, 26: 1173- 1175.
[3] Peters N, Wieners G, Pech M, et al. CT- guided interstitial brachytherapy of primary and secondary lung malignancies: results of a prospective phase Ⅱ trial[J]. Strahlenther Onkol, 2008, 184: 296- 301.
[4] 刘士榕, 肖越勇, 吴 斌, 等. CT引导下125I放射性粒子组织间植入治疗纵隔转移性淋巴结[J]. 中华放射学杂志, 2011, 45: 1190- 1193.
[5] 王俊杰, 修典荣, 冉维强, 等. 放射性粒子组织间近距离治疗肿瘤[M]. 第2版, 北京: 北京大学医学出版社, 2004: 79- 85.
[6] Wernicke AG, Shamis M, Yan W, et al. Role of isotope selection in long- term outcomes in patients with intermediate - risk prostate cancer treated with a combination of external beam radiotherapy and lowdose- rate interstitial brachytherapy[J]. Urology, 2012, 79: 1098- 1104.
[7] Li Y, Wang Y, Liu B, et al. 125I brachytherapy seeds implantation for inoperable lowgrade leiomyosarcoma of inferior vena cava[J]. Korean J Radiol, 2013, 14: 278- 282.
[8] Yu YP, Yu Q, Guo JM, et al. Effectiveness and security of CT- guidedpercutaneous implantation of 125I seeds in pancreatic carcinoma[J]. Br J Radiol, 2014, 87: 2013- 2019.
[9] 杜丹丹, 吕维富, 鲁 东, 等. CT引导下125I粒子植入联合胰腺动脉灌注治疗中晚期胰腺癌[J]. 中国介入影像与治疗学, 2012, 9: 801- 805.
[10] 张忠涛, 隋庆兰, 吴善良, 等. CT引导下植入125I放射粒子治疗颈部淋巴结转移瘤的临床应用[J]. 介入放射学杂志, 2015, 24: 881- 884.
[11] 范 勇, 程永德. 呼吸系统介入放射学[M]. 北京: 科学出版社, 2016: 269- 279.
[12] 左太阳, 张忠涛, 张 楠, 等. CT引导下植入125I放射粒子治疗纵隔淋巴结转移瘤的临床应用[J]. 中国CT和MRI杂志, 2015, 13: 68- 71.
[13] Gao F, Li C, Gu Y, et al. CT- guided 125I brechytherapy for mediastinal metastatic lymph nodes recurrence from esophageal carcinoma: effectiveness and safety in 16 patients[J]. Eur J Radiol, 2013, 82: e70- e75.
[14] Narayana A, Chang J, Thakur S, et al. Use of MR spectroscopy and functional imaging in treatment planting of gliomas[J]. Br J Radiol, 2007, 80: 347- 354.
[15] Langer R, Specht K, Becker K, et al. Association of prethera- peutic expression of chemotherapy- related genes with response to neoadjuvant chemotherapy in Barrett carcinoma[J]. Clin Caner Res, 2005, 11: 7462- 7469.
[16] Wang Z, Lu J, Gong J, et al. CT- guilding radioactive 125I Seed implanation therapy of symptomatic retroperitoneal lymph node metastases[J]. Cardiovasc Intervent Radiol, 2014, 37: 125- 131.

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备注/Memo

备注/Memo:
(收稿日期:2016-09-23)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2017-07-12