CAJ | 학술논문

目的：对CT引导下植入125Ⅰ放射粒子治疗晚期肺癌的临床效果进行探讨研究。方法随机选取2012年5月至12月间我院收治的确诊为晚期肺癌的患者40例，对患者采用CT阴道125Ⅰ粒子植入方法进行治疗，对患者的治疗情况及术后恢复情况数据进行统计分析。结果所有患者均成功植入125Ⅰ放射粒子，其中一次性植入成功的患者有35名，另5名患者均为2次植入成功，手术过程中无死亡。并发症的发生率为63.2%（24例），其中包括2例咯血，8例少量肺出血，12例气胸,2例粒子游走或迁移。结论采用CT引导125Ⅰ放射粒子对晚期肺癌患者进行治疗，具有可靠性高，安全性好的特点，建议在临床上推广使用。
목적：대CT인도하식입125Ⅰ방사입자치료만기폐암적림상효과진행탐토연구。방법수궤선취2012년5월지12월간아원수치적학진위만기폐암적환자40례，대환자채용CT음도125Ⅰ입자식입방법진행치료，대환자적치료정황급술후회복정황수거진행통계분석。결과소유환자균성공식입125Ⅰ방사입자，기중일차성식입성공적환자유35명，령5명환자균위2차식입성공，수술과정중무사망。병발증적발생솔위63.2%（24례），기중포괄2례각혈，8례소량폐출혈，12례기흉,2례입자유주혹천이。결론채용CT인도125Ⅰ방사입자대만기폐암환자진행치료，구유가고성고，안전성호적특점，건의재림상상추엄사용。
Objective To study the clinical effect of CT guided implantation 125Ⅰradioactive particles in the treatment of advanced lung cancer.Method randomly selected in 2012 May~12 months in our hospital were diagnosed with advanced lung cancer in 40 patients, patients were treated with CT vaginal 125 particle implantation method, to make statistical analysis of data recovery in patients with treatment and postoperative.Results all the patients were successfully implanted 125 Ⅰradioactive particles, and the disposable implantation was successful in 35 patients, the other 5 patients were implanted successfully 2 times, no death during operation. The complication rate was 63.2%(24 cases), including 2 cases of hemoptysis, 8 cases of small pulmonary hemorrhage, 12 cases of pneumothorax, 2 cases of particle migration and migration.Conclusion the CT guide 125Ⅰradioactive particles for advanced lung cancer patients, has the advantages of high reliability, good security, recommended in clinical use.