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CT引导经皮经胃穿刺125I植入治疗胰头癌的价值
关静;徐元昌;唐娟;乔赞峰;赵铁军;
成都军区总医院医学影像科普通外科中心
摘要:
目的探讨CT引导经皮经胃穿刺125I植入治疗晚期胰头癌的价值。方法 2005年来在我院确诊的晚期胰头癌患者18例,在CT引导下经皮经胃穿刺植入125I粒子,在术后1,3个月CT随访,评价肿瘤的大小、密度以及VAS评分。结果所有患者术后均取得成功,术后3个月均成活。CT复查评估CR 2例,PD 11例,SD 4例,PD 1例;VAS评分27分,有效率为61.11%。结论 CT经皮经胃穿刺125I植入对治疗晚期胰头癌有着一定的价值,并能缓解患者的癌性疼痛。
关键词:  125I粒子  经皮经胃穿刺  CT引导穿刺  胰头癌
DOI:
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基金项目:
Value of CT Guided Percutaneous Transgastric Puncture 125I Implantation Therapy of Pancreatic Head Carcinoma
Guan Jing;Xu Yuanchang;Tang Juan
The Military District General Hospital of Chengdu
Abstract:
Objective To discuss the value of CT guided percutaneous transgastric puncture125I implantation therapy of advanced pancreatic head carcinoma.Methods 18 cases of patients with mine confirmed advanced pancreatic head cancer since2005 were CT guided percutaneous transgastric puncture implanted125I particles.Patients were followed up by CT in postoperative1 and 3 months to evaluate the tumor size,density and VAS score.Results All patients were successfully operated and survived in the postoperative 3 months.CT reexamination assessed that there were 2 cases of CR,11 cases of PD,4 cases of SD and 1 case of PD; VAS scores were from 2 to 7 points and the effective rate was 61. 11%. Conclusion CT guided percutaneous transgastric puncture125I implantation therapy of advanced pancreatic head carcinoma has a certain value and can relieve cancerous pain of patients
Key words:  125Iparticle  percutaneoustransgastricpuncture  CTguidedpuncture  pancreaticheadcarcinoma
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