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  

Clinical application of CT-guided ^(125)I radioactive seed implantation in treating cervical lymph node metastasis

作　　者：张忠涛[1,2] 隋庆兰[1] 吴善良 左太阳 胡效坤[4] 

机构地区：[1]青岛大学附属医院黄岛分院放射科,273300 [2]平邑县人民医院 [3]山东省平邑县人民医院CT室 [4]青岛大学附属医院黄岛分院介入医学中心,273300

出　　处：《介入放射学杂志》2015年第10期881-884,共4页Journal of Interventional Radiology

摘　　要：目的探讨CT引导下植入125I放射粒子治疗颈部淋巴结转移瘤的方法、疗效和安全性。方法对由病理证实的32例颈部淋巴结转移瘤患者,行CT引导下125I放射粒子植入治疗。结果 32例颈部淋巴结转移瘤患者,术后1、3、6和12个月淋巴结转移瘤局部控制有效率依次是:81.3%(26/32)、84.4%(27/32)、93.7%(30/32)、87.5%(28/32)。结论 CT引导下植入125I放射粒子治疗颈部转移瘤,方法简单、疗效可靠、安全性高,是提高病变局部控制率的有效方法。Objective To discuss the method, therapeutic effect and safety of CT-guided 125I radioactive seed implantation for the treatment of cervical lymph node metastasis. Methods CT-guided 125I radioactive seed implantation was performed in 32 patients with pathologically proved cervical lymph node metastasis Results The local effective control rates of the cervical lymph node metastasis at one, 3, 6 and 12 months after the treatment were 81.3% （26/32）, 84.4% （27/32）, 93.7% （30/32） and 87.5% （28/32） respectively. Conclusion For the treatment of cervical lymph node metastasis, CT-guided 125I radioactive seed implantation is technically simple and clinically safe with reliable curative effect; this treatment is very effective in improving local tumor control rate.

关 键 词：碘放射性核素 介入性 近距离放射治疗 颈部 转移瘤 

分 类 号：R739.91[医药卫生—肿瘤]