实时超声引导下徒手穿刺I-125粒子消融术在小肝癌治疗中的应用  

Application of free hand puncture for I-125 seed ablation with real-time ultrasound guided in the treatment of small liver cancer

作　　者：西永忠 王凤梅 韩永会 张文华 赵璟 XI Yongzhong;WANG Fengmei;HAN Yonghui;ZHANG Wenhua;ZHAO Jing(Ultrasonography Department,Gansu Wuwei Tumor Hospital,Wuwei,Gansu,733000,China)

机构地区：[1]甘肃省武威肿瘤医院超声医学科,甘肃武威733000 [2]甘肃省武威肿瘤医院肝病科,甘肃武威733000

出　　处：《中国冶金工业医学杂志》2025年第2期135-137,共3页Chinese Medical Journal of Metallurgical industry

基　　金：甘肃省卫生健康行业科研项目(GSWSQN2021-011);甘肃省中西医结合肿瘤临床研究中心开放基金(zlzx2021-5);武威市科技局科技计划项目(WW2101113)。

摘　　要：目的 探讨实时超声引导下徒手穿刺在小肝癌患者I-125粒子消融术中的应用价值。方法 收集甘肃省武威肿瘤医院肝病科2019—2022年就诊的70例小肝癌患者,按照不同的引导治疗方法将其分为超声组42例与CT组28例,比较两组的应用效果。结果 超声组粒子植入治疗时间及穿刺针数均少于CT组(t=-21.01、-4.67,均P<0.05),术后出血率及术后气胸发生率均低于CT组(χ2=5.06、9.70,均P<0.05)。结论 实时超声引导下徒手穿刺I-125粒子消融术在小肝癌的粒子植入治疗中安全可靠、操作可行、并发症少,值得推广。Objective To explore the value of real-time ultrasound guided freehand puncture in the I-125 seeds ablation for patients with small liver cancer.Methods A total of 70 patients with small liver cancer treated in the hepatology department of Wuwei tumor hospital from 2019 to 2022 were collected and divided into the ultrasound group(42 cases) and the CT group(28 cases) according to the guidance method used.The application outcomes were compared between the two groups.Results The ultrasound group had significantly shorter seed implantation times and fewer puncture needles compared to the CT group(t=-21.01,-4.67,both P<0.05).Postoperative bleeding rates and pneumothorax incidences were also significantly lower in the ultrasound group than in the CT group (χ^(2)=5.06,9.70,both P<0.05).Conclusion Real-time ultrasoundguided freehand puncture for I-125 seed ablation is safe,feasible,and associated with fewer complications in the treatment of small liver cancer,making it a valuable technique for clinical promotion.

关 键 词：实时超声引导 徒手穿刺 I-125粒子消融 肝癌 

分 类 号：R735.7[医药卫生—肿瘤]