125I粒子植入治疗胰腺癌的近期临床疗效观察
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陈启龙E-mail:chenqilong651003sohu.com

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The therapeutic effects of iodine-125 seed implantation for advanced pancreatic carcinoma
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    摘要:

    目的:探讨姑息手术联合125I粒子植入治疗无法切除的晚期胰腺癌近期临床疗效。
    方法:选择无法手术切除的胰腺癌患者98例,其中支持治疗53例(Ⅰ组);姑息手术(胆肠吻合术和或胃空肠吻合术)24例(Ⅱ组);姑息手术联合术中125I粒子植入治疗21例(Ⅲ组)。
    结果:Ⅲ组患者疗后疼痛部分缓解率及完全缓解率分别为84.21%(16/19)及15.79%(3/19),均显著高于其他两组(P<0.001);Ⅲ组患者的中位生存期为8.6个月,长于Ⅱ组患者的5.7个月及Ⅰ组患者的4.5个月(P<0.05)。
    结论:对不可切除的晚期胰腺癌行125I粒子植入治疗可以延长患者生存期(部分病例还可长期生存),且能缓解疼痛并提高生活质量。

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    Objective:To study the therapeutic effects and prognosis of advanced pancreatic carcinoma treated with iodine-125 seeds implantation.
    Methods:The records of 98 patients with unresectable advanced pancreatic carcinoma admitted from Mar. 2004 to Oct. 2008 were analyzed. There were 53 cases treated by supportive treatment, 24 cases by palliative operation and 21cases by palliative operation combined with iodine-125 seed implantation.
    Results:Pain partial and complete relief rate in palliative operation combined with iodine-125 seeds implantation radiotherapy group(84.21% and 15.79%,respectively) was better than other two treatment groups(P<0.05). The median survival time in combined group was 8.6 months, which was significantly longer than that of other two groups (4.5 month and 5.7 months respectively)(P<0.05).
    Conclusions:Palliative operation combined with iodine-125 seeds implantation could improve the prognosis of advanced pancreatic carcinoma. This combined therapy has certain therapeutic effects for advanced pancreatic carcinoma  in releiving pain, improving life quility and increasing survival time.

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任大力| 林海| 陈启龙| 韩玮| 何铁英| 程坤.125I粒子植入治疗胰腺癌的近期临床疗效观察[J].中国普通外科杂志,2010,19(5):543-546.
DOI:10.7659/j. issn.1005-6947.2010.05.020

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  • 收稿日期:2009-11-25
  • 最后修改日期:2010-03-15
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  • 在线发布日期: 2010-05-15