^(90)Sr/^(90)Y敷贴治疗婴幼儿单纯性毛细血管瘤的临床研究  

CLINICAL STUDY ON ^(90)Sr/^(90)Y APPLICATION IN TREATING INFANT SIMPLE CAPILLARY HEMANGIOMA

作　　者：高玉芳[1] 张纪云[2] 王振英[1] 孙宝义[1] 薛忠光[1] 

机构地区：[1]临沂医专附属临沂市人民医院,山东临沂276003 [2]临沂医学专科学校

出　　处：《临沂医学专科学校学报》2002年第6期427-429,共3页Journal of Linyi Medical College

基　　金：临沂市科技发展计划项目资助 (No .2 8)

摘　　要：目的　 观察90 Sr/90 Y(90 锶 /90 钇 )对婴幼儿单纯性毛细血管瘤敷贴治疗的效果。方法　 应用90 Sr/90 Y对 12 0例婴幼儿单纯性毛细血管瘤进行敷贴治疗。结果　12 0例患儿 1疗程治愈率为31.7% ,2疗程治愈率为 5 0 .0 % ,1、2疗程总有效率为 92 .5 % ;照射剂量每次≤ 5Gy、5 .1～ 8Gy、8.1～ 10Gy的治愈率分别为 6 0 .0 %、95 .2 %和 94 .6 % ;照射时间≤ 3min、3.1～ 5min、>5min的治愈率分别为 71.7%、98.3%和 10 0 % ;病变范围≤ 2cm2 的治愈率为 10 0 % ,2 .1～ 5cm2 的治愈率为88.4 % ,>5cm2 的治愈率为 4 3.7%。治疗后未发生湿疹性皮炎、色素沉着等异常情况。结论　 应用90 Sr/90 Y敷贴治疗婴幼儿单纯性毛细血管瘤疗效高 ,无创伤 ,无痛苦 ,操作简单、使用方便 ,是治疗婴幼儿单纯性毛细血管瘤的良好方法。Objective To observe the curative effects of 90 Sr/ 90 Y application in treating infant simple capillary hemangioma.Methods 120 cases of infant simple capillary hemangioma were treated with 90 Sr/ 90 Y applications.Results The curative effects after the first and second courses of treatment were 31.7% and 50.0% respectively.And the total effective rate was 92.5%.When the irradiation dosages were less than 5Gy,between 5.1～8Gy and between 8.1～10Gy,the curative rates were 60.0%,95.2% and 94.6% respectively.When the irradiation time was below 3 minutes,between 3.1～5minutes or over 5 minutes,the curative effects were 71.7%,98.3% and 100% respectively.When the areas of pathologic change were less than 2cm 2,between 2.1～5cm 2 or over 5cm 2,the curative rates were 100%,88.4% and 43.7% respectively.No moist dermatitis or pigmentation was found out after treatments.Conclusion The 90 Sr/ 90 Y application has proven to have high curative effects,without causing traumata,and can be used effectively to treat infant simple capillary hemangioma.

关 键 词：单纯性毛细血管瘤 电脑辐射 β^-粒子 敷贴治疗 

分 类 号：R732.230.5[医药卫生—肿瘤]