论文部分内容阅读
Twenty-nine (29) patients with recurrent head and neck carcinomas underwent 125I seed permanent implantation under ultrasonography guidance and the feasibility and efficacy of 125I seed implantation were assessed.The postplan evaluation showed that the actuarial D90 of 125I seeds ranged from 90 to 160 Gy (median, 130 Gy).The activity of each 125I seed ranged from 0.35 to 0.8 mCi (median, 0.6mCi).The total number of sources implanted ranged from 3 to 61 (median, 22).The follow-up ranged from 3 to 40 months (median, 8 months).The1-, 2-, and 3-year local control rates were 53.1%, 34.8%, and 17.4%, respectively, with a median local control of 16months (95% confdence interval, 5.8-26.1).The 1-, 2-, and 3-year survival rates were 54.1%, 27.5%, and 27.5%,respectively (median, 13 months; 95% confidence interval, 6.0-19.9).Of the 25 patients, 5 (17.2%) died of local recurrence and 7 (24.1%) died of metastases; 2 patients showed recurrences at 3 and 8 months after seed implantation and subsequently died of pneumonia.One (1) patient died of heart disease.One (1) developed ulceration with tumor progression.Blood vessel damage and neuropathy were not observed.Percutaneous ultrasound-guided 125I seed implantation is a feasible, safe salvage for patients with recurrent carcinomas of the head and neck.