肝门区肝癌患者超声引导经皮穿刺^(125)Ⅰ放射性粒子植入术1例报告及文献复习  

Ultrasound-guided percutaneous puncture ^(125)Ⅰ radioactive seed implantation in treating hilar hepatic tumor:one case report and literature review

作　　者：屈佳[1] 杨冬艳[1] 

机构地区：[1]吉林大学中日联谊医院超声科,吉林长春130033

出　　处：《吉林大学学报（医学版）》2016年第2期366-369,共4页Journal of Jilin University：Medicine Edition

基　　金：吉林省科技厅社会发展项目资助课题(3D513T903430)

摘　　要：目的:报道1例行超声引导经皮穿刺^(125)Ⅰ放射性粒子植入术治疗肝门区肝癌病例,并文献复习。方法:术前对患者行CT及超声检查并制定术前放射治疗计划系统(TPS)计划,在超声引导下以平行的方式进针将粒子植入肿瘤内(粒子间的距离为1.0~1.5cm),使患者肿瘤内的粒子分布符合TPS计划。结果:手术过程顺利完成;术后1个月的随访过程中,无术后并发症;术后1个月行超声和CT检查,肿瘤体积明显缩小,肿瘤局部治疗效果良好。结论:超声引导经皮穿刺125I放射性粒子植入术是治疗肝门区肝癌安全、有效的方法。Objective： To report one case of hilar hepatic tumor treated by ultrasound-guided percutaneous puncture 125I radioactive seed implantation, and to review the associated literatures. Methods： One patient＇s CT and ultrasonic examinations were taken, and the plan of TPS was taken. The patient was treated by ultrasound- guided percutaneous puncture 125i radioactive seed implantation according to tile plan of TPS. The needles were parallel, and the distance between the seeds were 1.0 to 1.5 cm. Results： The operation was successfully completed. No postoperative complications were encountered during 1 month follow up. The volume of tumor was obviously reduced 1 month after operation detected by ultrasound and CT. The local control effect of tumor was good. Conclusion： Ultrasound-guided percutaneous puncture 125I radioactive seed implantation is a safe and effective method in treating hilar hepatic tumor.

关 键 词：肝肿瘤 放射性粒子植入术 超声引导 经皮穿刺 

分 类 号：R735.7[医药卫生—肿瘤]