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Y形金属支架联合（125）I粒子链腔内近距离放射治疗一名IV型肝门部胆管癌患者

Y-configured metallic stent combined with (125)I seed strands cavity brachytherapy for a patient with type IV Klatskin tumor.

作者信息

Dechao Jiao, Han Xinwei, Yanli Wang, Zhen Li

机构信息

Department of Interventional Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People's Republic of China.

出版信息

J Contemp Brachytherapy. 2016 Aug;8(4):356-60. doi: 10.5114/jcb.2016.61704. Epub 2016 Aug 9.

DOI:10.5114/jcb.2016.61704
PMID:27648091
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5018522/
Abstract

We report a case in an inoperable patient with type IV Klatskin tumor treated by the use of a novel, two piece, Y-configured self-expandable metallic stent (SEMS) combined with two (125)I seed strands via bilateral approach. The placement of the Y-shaped SEMS was successful and resulted in adequate biliary drainage. After 2 months of intraluminal brachytherapy (ILBT), both (125)I seed strands and temporary drainage catheter were removed after patency of the expanded stents was confirmed by the cholangiogram. This technique was feasible and could be considered for the treatment of patients with Bismuth type IV Klatskin tumors.

摘要

我们报告了一例无法手术的IV型肝门部胆管癌患者，通过使用一种新型的两件式Y形自膨式金属支架（SEMS）并经双侧途径联合两根（125）I籽源链进行治疗。Y形SEMS放置成功，实现了充分的胆汁引流。腔内近距离放疗（ILBT）2个月后，经胆管造影确认扩张后的支架通畅后，取出了两根（125）I籽源链和临时引流导管。该技术是可行的，可考虑用于治疗Bismuth IV型肝门部胆管癌患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b1a/5018522/a5c92aaf1d5b/JCB-8-28141-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b1a/5018522/2ce45254a581/JCB-8-28141-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b1a/5018522/fb9f61942cbd/JCB-8-28141-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b1a/5018522/471ac20c3e83/JCB-8-28141-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b1a/5018522/a5c92aaf1d5b/JCB-8-28141-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b1a/5018522/2ce45254a581/JCB-8-28141-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b1a/5018522/fb9f61942cbd/JCB-8-28141-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b1a/5018522/471ac20c3e83/JCB-8-28141-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b1a/5018522/a5c92aaf1d5b/JCB-8-28141-g004.jpg

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