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¹²⁵I粒子近距离治疗复发性膀胱癌的疗效评估

Evaluation of therapeutic effects of I particles brachytherapy for recurrent bladder cancer.

作者信息

Zhou Yu-Ming, Feng Xiao, Zhou Bing-Cheng, Fan Yue-Feng, Huang Yuan-Liang

机构信息

Department of Intervetion Therapy, The First Affiliated Hospital of Xiamen University, Xiamen, Fujian 361000, P.R. China.

出版信息

Oncol Lett. 2018 Mar;15(3):3453-3457. doi: 10.3892/ol.2017.7723. Epub 2017 Dec 29.

Abstract

The aim of the present study was to evaluate the clinical value of I particles implantation in the treatment of recurrent bladder cancer. The study is a retrospective analysis of 32 patients with recurrent bladder cancer treated between May 2010 and January 2010. Of these, 16 cases (chemotherapy group) received conventional chemotherapy. A total of 16 patients (I group) received radiotherapy with I particles, followed by conventional chemotherapy. By guidance of B ultrasound, I radioactive particles were implanted. All 32 patients were relieved after treatment, and the tumors were significantly reduced after 2 months. However, the tumors in the I group were significantly smaller than those in the chemotherapy group (P<0.05). The patients were followed-up for 1 year and no recurrence was found. Additionally, no complications occurred. Compared with the chemotherapy group, the tumor volume of the I group was significantly reduced (P<0.05). The disease-free survival and 5-year survival rates of the patients in the follow-up showed that the disease-free survival and 5-year survival rates of the patients in I group were significantly improved compared to those in the chemotherapy group. Therefore, the results have shown that I radioactive particles in the treatment of bladder cancer improve the symptoms of patients with bladder cancer in the short term, and continuously kill residual tumor and prevent recurrence.

摘要

本研究的目的是评估碘粒子植入治疗复发性膀胱癌的临床价值。该研究是对2010年5月至2010年1月期间治疗的32例复发性膀胱癌患者的回顾性分析。其中,16例(化疗组)接受了传统化疗。共有16例患者(碘粒子组)接受了碘粒子放疗,随后进行传统化疗。在B超引导下植入碘放射性粒子。所有32例患者治疗后症状均缓解,2个月后肿瘤明显缩小。然而,碘粒子组的肿瘤明显小于化疗组(P<0.05)。对患者进行了1年的随访,未发现复发。此外,未发生并发症。与化疗组相比,碘粒子组的肿瘤体积明显缩小(P<0.05)。随访患者的无病生存率和5年生存率显示,碘粒子组患者的无病生存率和5年生存率与化疗组相比有显著提高。因此,结果表明碘放射性粒子治疗膀胱癌可在短期内改善膀胱癌患者的症状,并持续杀死残留肿瘤并预防复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5074/5778877/983ecff9250c/ol-15-03-3453-g00.jpg

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