125I粒子在头颈部腺样囊性癌综合治疗中的作用

The effect of 125I seed in comprehensive therapy of the head and neck adenoid cystic carcinoma

  • 摘要: 腺样囊性癌(ACC)常发生于头颈部,临床上大多数患者均采用手术结合放疗的综合治疗方法。手术联合放疗可达到较好的局部控制率,尤其是对手术无法切除的晚期恶性肿瘤,而放疗可缓解局部症状、延缓肿瘤发展。125I粒子植入治疗是一种有效的近距离放疗方法,可一次性完成插植,具有周围正常组织损伤轻微、靶区定位准确和操作简单的特点。125I粒子可在CT、B超、导航等影像设备的引导下植入肿瘤。应用125I粒子植入治疗头颈部ACC已经取得了良好的近期疗效,不良反应的发生率较低。术前制定治疗计划、术中或术后进行质量验证,可保证治疗质量可靠,最好地发挥125I粒子植入治疗的作用。

     

    Abstract: Adenoid cystic carcinoma(ACC)often occurs in head and neck, many patients are treated with surgical operation combined radiation treatment method in clinic.Surgery combined radiation therapy can achieve good local control, especially for those late-stage cancer undlgo patients who cannot undergo surgical resection.Radiation therapy can alleviate local symptoms, retards the growth of tumor. 125I seed interstitial brachytheraphy is an effective treatment method which has the characteristics of minimal damage in normal tissue, accurate positioning in target area and simple operation, and it can be one-time completed.125I seed can be implanted in tumors through the CT, B ultrasonic and image navigation equipment.Application of 125I seed interstitial brachytheraphy treatment in head and neck ACC has achieved good short-term curative effect. Preoperative establishing treatment plan and intraoperative or postoperative quality verification can guarantee the qualityoftreatment and make 125I seed interstitial brachytheraphywork better.

     

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