| 朱衍菲,张 宇,朱绫琳.机器人导航辅助CT引导下肺恶性肿瘤放射性粒子植入术的临床应用[J].肿瘤学杂志,2017,23(8):681-685. |
| 机器人导航辅助CT引导下肺恶性肿瘤放射性粒子植入术的临床应用 |
| Clinical Application of Robotic Targeting System in CT-guided Implantation of 125I Seeds for Pulmonary Carcer |
| 投稿时间：2016-11-23 |
| DOI：10.11735/j.issn.1671-170X.2017.08.B007 |
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| 中文关键词: 肺恶性肿瘤 机器人 CT引导 放射性粒子 |
| 英文关键词:pulmonary malignant tumor Robot CT-guided radioactive seeds |
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| 摘要点击次数: 2036 |
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| 中文摘要: |
| 摘 要：［目的］ 探讨机器人导航辅助CT引导下在肺恶性肿瘤放射性粒子植入术中的应用价值。［方法］对40例肺恶性肿瘤患者行粒子植入术，比较机器人导航辅助CT引导组（20例）与常规CT引导组（20例）的穿刺次数、扫描次数、精度偏差、治疗时间、DLP以及并发症发生率。［结果］ 机器人导航辅助CT引导组的平均穿刺次数(2.7±1.0 vs 4.3±1.5)、扫描次数(4.7±1.2 vs 6.0±1.4)、精度偏差(3.4±1.3mm vs 6.3±2.1mm )以及DLP值(325.2±104.1 mGy·cm vs 457.5±163.5 mGy·cm)均低于常规CT引导组，差异均具有统计学意义（P均＜0.05）；两组在治疗时间和并发症方面差异无统计学意义（P＞0.05）。［结论］ 机器人导航辅助CT引导下行肺恶性肿瘤放射性粒子植入术的操作精度高、辐射剂量少，安全性好，具有较高的临床应用价值。 |
| 英文摘要: |
| Abstract：［Objective］ To evaluate the clinical application of robotic targeting system in CT- guided implantation of 125I seeds for pulmonary cancer. ［Method］ The clinical data of 20 patients with pulmonary cancer receiving CT-guided implantation of 125I seeds using robotic targeting system(study group) and 20 receiving CT-guided radioactive seeds implantation using conventional method(contrast group) were retrospectively analyzed. The puncturing time，scanning time，aiming accuracy，procedure time，dose-length product(DLP) and complications were documented and compared between two groups. ［Results］ The puncturing times(2.7±1.0 vs 4.3±1.5)，scanning times(4.7±1.2 vs 6.0±1.4) were shorter，and the aiming accuracy(3.4±1.3mm vs 6.3±2.1mm ) and DLP(325.2±104.1mGy·cm vs 457.5±163.5mGy·cm) in the robotic targeting group were all lower than those in the control group(all P<0.05). There were no significant differences in incidence of adverse reactions and procedure time between the two groups(P>0.05). ［Conclusion］ Robotic targeting system is more accurate，faster and of lower radiation dose for CT guided implantation of radioactive seeds in treatment of patients with pulmonary cancer. |
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