Susnerwala S S, Sharma S, Deshpande D D, Dinshaw K A, Viswanathan P S
Department of Radiation Oncology, Tata Memorial Hospital, Bombay, India.
J Surg Oncol. 1992 Jun;50(2):115-7. doi: 10.1002/jso.2930500212.
Fourteen patients with malignant airway obstruction were treated with a placement of a flexible nylon catheter for low dose rate manual afterloading Iridium 192 endobronchial brachytherapy using a flexible fibreoptic bronchoscope. Eight patients had obstructive pneumonitis at initial presentation, while 6 cases were recurrences after previous external irradiation. Six evaluable patients of the former group had complete or partial reinflation of lung and were followed by external radiotherapy. Of the latter group, 3 were evaluable and had moderate to good palliation of their symptoms. No complication was observed. The technique is simple and safe with good patient compliance. Further evaluation is indicated to assess its role in the locoregional management of lung cancer.
14例恶性气道梗阻患者采用可弯曲尼龙导管，通过可弯曲纤维支气管镜进行低剂量率手动后装铱192支气管内近距离放射治疗。8例患者初诊时患有阻塞性肺炎，6例为既往外照射后的复发患者。前一组6例可评估患者肺完全或部分复张，随后接受外照射放疗。后一组中，3例可评估患者症状得到中度至良好缓解。未观察到并发症。该技术简单安全，患者依从性好。有必要进一步评估其在肺癌局部区域治疗中的作用。
