摘要
目的:观察CT引导下^(125)I粒子植入治疗脊柱转移癌引起疼痛的近期疗效。方法:回顾性分析^(125)I粒子植入治疗的32例脊柱转移癌患者的临床资料,共47个病灶。术前用治疗计划系统制定粒子植入计划,在CT引导下将^(125)I粒子植入病灶内,随访观察患者疼痛缓解及并发症情况。结果:32例患者共47个病灶均成功植入,平均1～1. 5 h;粒子植入数目为12～60粒;中位粒子数30粒。术后1 d、3 d、7 d、15 d、30 d、60 d和90 d疼痛缓解有效率分别为53. 13%、75. 00%、90. 63%、81. 25%、81. 25%、81. 25%、81. 25%。结论:CT引导下^(125)I粒子植入治疗脊柱转移癌引起的疼痛安全有效。
To evaluate the short-term effect of CT-guided^125 I seed implantation in the treatment of pain caused by metastatic spine tumor(MST).Methods:A total of 32 MST patients with 47 metastatic foci were retrospectively analyzed.Preoperative treatment planning system was used to formulate the implantation plan,^125 I seeds were implanted into the lesion under CT guidance,and pain relief and complications were followed up.Results:Forty-seven foci were successfully implanted in 32 patients with an average of 1-1.5 hours.The number of seeds implanted was 12-60,and the median number of seeds was 30.The effective rates of pain relief were 53.13%,75.00%,90.63%,81.25%,81.25%,81.25%,81.25%,81.25%and 81.25%on 1,3,7,15,30,60 and 90 days after operation,respectively.Conclusion:CT-guided^125 I seed implantation is safe and effective in the treatment of pain caused by MST.
作者
董清科
汪代杰
尹雷
章伟
Dong Qingke;Wang Daijie;Yin Lei;Zhang Wei(Department of Oncology,People s Hospital of Luzhou,Luzhou,Sichuan 646000,China)
出处
《现代临床医学》
2019年第1期25-26,38,共3页
Journal of Modern Clinical Medicine
