模板引导初学医师穿刺植入^(125)I粒子用于模拟颅内肿瘤  

Template for guiding puncture by beginner during^(125)I seeds implantation for simulated intracranial tumor

作　　者：张宏涛[1] 周秋妹 杨华清[3] 杨鑫 王香玉 隋爱霞[1] 胡效坤[5] 王娟[1] ZHANG Hongtao;ZHOU Qiumei;YANG Huaqing;YANG Xin;WANG Xiangyu;SUI Aixia;HU Xiaokun;WANG Juan(Department of Oncology,Hebei General Hospital,Shijiazhuang 050051,China;Graduate School,North China University of Science and Technology,Tangshan 063210,China;Department of Oncology,Guangyuan Central Hospital,Guangyuan 628000,China;Department of Nuclear Medicine,Hebei General Hospital,Shijiazhuang 050051,China;Department of the Interventional Medical Center,the Affiliated Hospital of Qingdao University,Qingdao 266000,China)

机构地区：[1]河北省人民医院肿瘤一科,河北石家庄050051 [2]华北理工大学研究生院,河北唐山063210 [3]广元市中心医院肿瘤二科,四川广元628000 [4]河北省人民医院核医学科,河北石家庄050051 [5]青岛大学附属医院介入医学中心,山东青岛266000

出　　处：《中国医学影像技术》2022年第7期1077-1080,共4页Chinese Journal of Medical Imaging Technology

基　　金：国家重点研发计划(2019YFE0120100)。

摘　　要：目的观察模板引导初学医师穿刺植入^(125)I用于模拟颅内肿瘤的价值。方法由1名经1天模板引导穿刺培训的肿瘤内科副主任医师分别徒手穿刺及在模板引导穿刺植入^(125)I用于模拟颅内肿瘤,对比观察其效果,包括针尖向左或右侧(D_(x))及头或足侧(D_(Z))偏移的距离、穿刺角度误差及剂量参数。结果徒手与模板引导穿刺的D_(x)分别为7.2及1.6 mm,D_(Z)为10.00(5.00,10.00)及5.00(0,5.00)mm,差异有统计学意义(Z=-7.489,P<0.001);穿刺角度误差分别为(5.89±2.23)°及1.00(1.00,2.00)°,差异有统计学意义(Z=-8.417,P<0.001)。模板引导穿刺与计划穿刺方案剂量参数的差距小于徒手穿刺。结论模板引导初学医师穿刺植入^(125)I用于模拟颅内肿瘤效果较好。Objective To observe the value of template for guiding beginner puncture during^(125)I seeds implantation for simulated intracranial tumor.Methods Manual puncture and template guided puncture were performed for^(125)I seeds implantation by a deputy chief physician of internal medicine of oncology who underwent one-day training of template guided puncture.The effects of 2 puncture methods were observed and compared,including deviation distance of left or right(D_(X))and head or foot(D_(Z))of needle tip,puncture angle error and dose parameters.Results D_(X)of manual and template guided puncture was 7.2 and 1.6 mm,respectively,D_(Z)was 10.00(5.00,10.00)and 5.00(0,5.00)mm,respectively,all were significant different(Z=-7.489,P<0.001),while the puncture angle error was(5.89±2.23)°and 1.00(1.00,2.00)°,respectively,all were significant different(Z=-8.417,P<0.001).The differences of dose parameters between planned puncture scheme and template guided puncture were smaller than those of manual puncture.Conclusion Template guided puncture by beginner during^(125)I seeds implantation had good effect for simulated intracranial tumor.

关 键 词：脑肿瘤 碘放射性同位素 穿刺术 模板 体层摄影术 X线计算机 

分 类 号：R739.41[医药卫生—肿瘤] R815[医药卫生—临床医学]