Ultrasound-guided percutaneous implantation of 125 I seeds in advanced pancreatic carcinoma by puncturing gastric wall
10.3760/cma.j.issn.1004-4477.2017.12.005
- VernacularTitle:超声引导下经皮穿刺穿透胃壁植入125 I放射性粒子治疗进展期胰腺癌
- Author:
Ping FU
1
;
Jianan XUE
;
Baodong GAI
;
Hui WANG
;
Dongyan YANG
Author Information
1. 吉林大学中日联谊医院超声科
- Keywords:
Ultrasonography;
Pancreatic neoplasms;
Brachytherapy;
125 I seeds
- From:
Chinese Journal of Ultrasonography
2017;26(12):1034-1038
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the efficacy and safety of ultrasound-guided percutaneous puncturing gastric wall implantation of 125 I seeds in advanced pancreatic carcinoma . Methods Sixty-five cases ( 65 tumors ) of advanced pancreatic carcinoma implanted 125 I seeds by ultrasound-guided percutaneous puncturing gastric wall were retrospectively analyzed . The change of length diameter of tumor and pain relief were evaluated . Results The total 65 cases were performed successfully according to the preoperative plans . In the following 3 months after the operation ,the results showed that complete remission (CR) was achieved in 19 cases ,partial remission( PR) was 33 ,stable disease( SD) was 10 and the progressive disease ( PD) was 3 . The overall response rate was 80％ . About the relief of pain ,complete relief patients were 36 , partial response patients were 11 and the invalid patients were 5 . The pain relief rate was 90 .38％ . There were no bleeding ,pancreatic fistula ,biliary fistula ,gastric perforation which need to do the surgery therapy . Two cases of pancreatic pseudocyst occurred when reviewed in the third month after the operation . Conclusions It is effective and safe to adopt ultrasound-guided percutaneous puncturing gastric wall implantation of 125 I seeds in advanced pancreatic carcinoma .
