摘要
目的:评估腹膜后淋巴结转移患者在CT引导下经皮穿刺金属追踪示物(金标)植入联合氟尿嘧啶瘤内、瘤旁植入术的临床效果。方法:回顾性分析52例行金标植入术联合氟尿嘧啶植入的腹膜后淋巴结转移患者临床资料,评估术中患者出血率、金标失用率及针道种植转移率等。结果:金标植入联合氟尿嘧啶植入剂术中的52例患者共计植入金标74颗(最少植入1颗,最多植入4颗),其中金标植入术中出血率为零,金标失用率为5.4%,针道种植转移率为零。结论:氟尿嘧啶植入剂对控制腹膜后转移淋巴结射波刀治疗金标植入中的出血率、金标失用率和针道种植转移率均有一定效果。
Objective: To assess the clinical significance of intratumoral and peritumoral implantation that metal tracing indicator (gold fiducials) implantation with percutaneous puncture under CT guidance combined with fluorouracil for patients with retroperitoneal lymph node metastasis. Methods: The clinical data of 52 patients with retroperitoneal lymph node metastasis who underwent the combination of gold fiducials implantation and fluorouracil implantation were retrospectively analyzed. And then the bleeding rate of intraoperative patients, discard rate of gold fiducials and transfer rate of needle passage implantation were further assessed. Results: 74 gold fiducials were implanted in intraoperative 52 patients who received the combination of gold fiducials implantation and fluorouracil implant. In them, the intraoperative bleeding rate of gold fiducials was 0%, and the discard rate of gold fiducials was 5.4% and transfer rate of needle passage implantation was 0%. Conclusion: Fluorouracil implants is benefit for controlling the bleeding rate, discard rate of gold fiducials and transfer rate of needle passage implantation in the implantation of gold fiducials of Cyberknife treatment for retroperitoneal lymph node metastasis.
作者
童芳
龚璇
刘小亮
解传滨
黄玉荣
曲宝林
TONG Fang;GONG Xuan;LIU Xiao-liang(Department of Radiotherapy, The First Medical Center, Chinese PLA General Hospital, Beijing 100853, China.)
出处
《中国医学装备》
2019年第7期69-71,共3页
China Medical Equipment
基金
国家重点研发计划(2017YFC0112100)“原发性肝癌与胰腺癌精确放疗解决方案的研究”
关键词
氟尿嘧啶植入剂
金标
射波刀治疗
淋巴结转移
CT引导
Fluorouracil implant
Gold fiducials
Cyberknife therapy
Retroperitoneal lymph node metastases
CT guidance
