超声引导下瘤内注射^(32)P-胶体治疗肝脏血管瘤  

Internal Radiotherapy for Liver Hemangioma using ^(32)P-colloid Interstitial Injection under Ultrasound Guidance

作　　者：曹丽敏[1] 张文书[2] 王春香[2] 孙玉杰 

机构地区：[1]解放军总医院医学影像中心,北京100853 [2]解放军第211医院核医学科,哈尔滨150080

出　　处：《中国医学影像学杂志》2002年第6期428-430,共3页Chinese Journal of Medical Imaging

摘　　要：目的 :探讨超声引导下瘤内注射核素治疗肝脏血管瘤的方法与疗效。材料和方法 :3 0例肝脏血管瘤 (其中 7例多病灶 ) ,超声引导下经皮肝穿 ,瘤内注射3 2 P 胶体 ,2 9.6～ 3 88MBq (0 .8～ 10 .5mCi) ,单点或多点分次治疗。结果 :共穿刺5 3次 ,病灶累积辐射吸收剂量 3 0 2～ 183 4Gy ;8～ 2 0个月后 ,临床及超声证实痊愈 9例 ,显效 16例 ,有效 5例 ,无无效病例 ;无严重并发症。结论 :超声引导下瘤内3 2 P 胶体注射是治疗肝脏血管瘤的有效方法。Purpose: To evaluate the ultrasound-guided interstitial injection of 32P-colloid as a treatment of liver hemangioma.Materials and Methods: 30 patients with liver hemangioma, 7 with multiple lesions, were treated with real-time sonographic monitoring. 32P-colloid was injected into the lesion at dosage of 29.6～388MBq(0.8～10.5mCi).Results: A total of 53 injections were conducted with an accumulated absorb dose of 30.2～183.4Gy. 8～20 months later, 9 lesions were proven cured, 16 markedly and 5 mildly improved. No therapeutic failure and no serious side effect accounted.Conclusion: Interstitial injection of 32P-colloid under ultrasound guidance is an effective treatment of liver hemangioma.

关 键 词：放射性核素治疗 肝脏血管瘤 ^32P-胶体 

分 类 号：R735.705[医药卫生—肿瘤]