CAJ | 학술논문

目的探讨腹腔镜下手术切除及~(125)I粒子植入治疗复发妇科恶性肿瘤的安全性.方法 5例复发妇科恶性肿瘤患者在腹腔镜下切除复发癌灶并植入~(125)I粒子,记录全部并发症,用γ射线监测仪在距放射源不同距离及术后不同时间监测环境辐射剂量.结果 5例手术全部成功,无严重的并发症发生,所有患者均有轻微的粒子植入部位疼痛和暂时外阴水肿,离放射源距离及术后时间增加,辐射剂量迅速减少,在距离体表50 cm及术后6个月时测得的辐射剂量接近天然本底辐射剂量.结论腹腔镜下手术切除及~(125)I粒子植入对患者及周围人群是安全的.
목적 탐토복강경하수술절제급~(125)I입자식입치료복발부과악성종류적안전성.방법 5례복발부과악성종류환자재복강경하절제복발암조병식입~(125)I입자,기록전부병발증,용γ사선감측의재거방사원불동거리급술후불동시간감측배경복사제량.결과 5례수술전부성공,무엄중적병발증발생,소유환자균유경미적입자식입부위동통화잠시외음수종,리방사원거리급술후시간증가,복사제량신속감소,재거리체표50 cm급술후6개월시측득적복사제량접근천연본저복사제량.결론 복강경하수술절제급~(125)I입자식입대환자급주위인군시안전적.
Objevtive To investigate the safety of laparoscopic resection and ~(125)I seed implantation for recurrent gynecologic malignancies. Methods Laparoscopic surgery and ~(125)I seed implantation were used in five patients. All complications were recorded. Environmental radiation dose was detected at different distance from radioactive source and different time after operation with-γ-ray equipment. Results The procedure was safely achieved in all five patients. No serious complication was found. All patients experienced slight pain at the implant site and temporary vulva dropsy. With the increase of the distance from radioactive source and time passing, the radiation dose decreased quickly. The detected dose was close to a natural background radiation dose at the distance of 50cm from radioactive source and after 6 months. Conclusions Laparoscopic resection and ~(125)I seed implantation are safe to patient and environment.