Application of 125 I seeds combined with biliayr stent implantation in the treatment of malignant ;obstructive jaundice
10.3760/cma.j.issn.0253-3766.2016.03.013
- VernacularTitle:125 I粒子条联合胆道内支架治疗恶性梗阻性黄疸的临床疗效
- Author:
Tao WANG
1
;
Sheng LIU
;
Yanbo ZHENG
;
Ng Xueep SONG
;
Wenjin Ang IJ
;
N Boil SUN
;
Ligang WANG
Author Information
1. 264000山东省烟台毓璜顶医院介入治疗科
- Keywords:
Subject words] Neoplasms;
Jaundice,obstructive;
125 I seeds;
Stents;
Treatment outcome
- From:
Chinese Journal of Oncology
2016;38(3):228-231
- CountryChina
- Language:Chinese
-
Abstract:
[Abts ract] Objective To study the feasibility and therapeutic effect of the application of 125 I seeds combined with biliary stent implantation on the treatment of malignant obstructive jaundice.Methods Fifty patients with malignant obstructive jaundice treated from September 2010 to February 2013 in Yantai Yuhuangding Hospital were included in this study.Among them, 24 patients received biliary stent implantation combined with 125 I seeds intraluminal brachytherapy as experimental group, and 26 were treated by biliary stent implantation as control group.The total bilirubin, direct bilirubin and tumor markers ( CA-199, CA-242, CEA) before and after surgery, the biliary stent patency status was assessed, and the survival time was evaluated.Results The 24 patients in experimental group were implanted with 30 125 I seeds successfully in a total of 450 seeds.Jaundice was improved greatly in both groups.The CA-199 and CA-242 after treatment in the experimental group were significantly decreased than that before treatment ( P=0.003 and P=0.004).CEA was also decreased,but showed no statistical significance (P>0.05).There were no significant improvement comparing the CA-199, CA-242 and CEA before and 2 months after surgery in the control group ( P>0.05) .The rate of biliary stent patency was 83.3%( 20/24) in the experimental group and 57.7%( 15/26) in the control group ( P=0.048) .The mean biliary stent patency time in the experimental group was 9.84 months ( range 11-5 .5 months)T.he mean biliary stent patency time in the control group was 5.57months ( range 0.8-9 months) .There was a significant difference between the two groups ( P=0.018) . The median survival time was 10.2 months in the experimental group and 5.4 months in the control group ( P<0.05) .Conclusion 125 I seeds combined with biliary stent implantation can inhibit the proliferation of vascular endothelial cells and the growth of tumor effectively, and can prolong the biliary stent patency time and the survival time obviously for patients with malignant obstructive jaundice, therefore, is a safe and effective treatment in this malignancy.
