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单次剂量^(153)Sm-EDTMP治疗肿瘤性骨痛的疗效观察 被引量:12

The Efficacy and Side effect of Single Dose of 153 Sm EDTMP as a Palliative Therapy of Bony Metastasis
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摘要 目的:用相对客观的标准比较单次注射、两种剂量的放射性核素姑息治疗骨转移癌性痛疼的效果及副作用。材料与方法:经多中心协作,73例接受153Sm-EDTMP注射,37MBq/kg或18.5MBq/kg两种剂量,从止痛剂用量、主观感觉、功能改善、化验及临床等,连续观察16周进行比较。结果:两种剂量的止痛效果、止痛时间、副作用类型及程度等无差别,总止痛效率86.3%;疗效持续时间为8.2±4.5周;50%病例有血相改变,10例有肝功改变;副作用均在4~6周内恢复;10例无效。结论:单次153Sm-EDTMP注射是有效的骨痛姑息治疗技术;疗效与副作用均与剂量无关;153Sm-EDTMP治疗转移癌性骨痛,需要进一步客观、科学评价。 Purpose: In order to better understand 153 Sm EDTMP palliative treatment for bone pain caused by metastasis, multi center study sponsored by IAEA was organized. Materials and Methods: 73 cases of painful metastases from various primaries were given single injection of 153 Sm EDTMP introvenously in dosage of 37MBq/Kg or 18.5MBq/Kg. Evaluation of the efficacy and theside effects were based on a 16 week follow up. The symptom, general condition and change of analgestics were carefully recorded, so was the lab findings. Results: The total response rate after single dose of 153 Sm EDTMP was 86.3%. The effect persisted for 8.2±4.5 weeks, and was dosage independent, 50% showed blood count changes, 10 cases had evidence of liver damage. All side effects disappeared at 6 to 8 weeks. 9/10 nonreponding cases were male, 6 of them suffered from lung cancer. Conclusion: Single injection of 153 Sm EDTMP is effective in treating painful bone metastasis; the efficacy and side effects were both dosage independent; more well designed, deeply insighted study is justified to further understand radionuclide palliative therapy.
出处 《中国医学影像学杂志》 CSCD 1997年第3期129-131,共3页 Chinese Journal of Medical Imaging
基金 国际原子能机构区域合作计划
关键词 Sm153 EDTMP 肿瘤转移 骨痛 放射疗法 Radionuclide Palliation Bony metastases 153 Sm EDTMP
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二级参考文献6

  • 1刘琼英,国外医学放射医学核医学分册,1991年,15卷,121页
  • 2陈盛祖,中华肿瘤杂志
  • 3团体著者,中华核医学杂志,1993年,13卷,195页
  • 4孙燕,临床肿瘤内科手册(第2版),1992年
  • 5蔡露,国外医学放射医学核医学分册,1991年,15卷,241页
  • 6邓候富,中华核医学杂志,1992年,12卷,27页

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