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为了提高前列腺癌的局部控制和降低并发症,作者首创使用经会阴皮肤模板的~(125)碘插植治疗。该治疗优点是①操作时有C臂架X线透视监护,可插入肿瘤的中心部位和减少尿道损伤;②因操作经会阴途径,不是从耻骨上前后方向插植,可减少直肠、膀胱穿孔的危险;③减少意外的直肠刺破引起的感染,也同时避免剖腹;④有适当的操作范围,如有必要可对侧缘的肿瘤进行插植;⑤使用有机玻璃模板,可使针向规则、剂量均匀对称,还可在X线后前位及侧位透视下监测针向;⑥术中可在透视下改变插植针的分布,以克服潜在的冷点及热点;
In order to improve the local control of prostate cancer and reduce complications, the authors first used the ~(125)iodine implant therapy with perineal skin template. The advantages of this treatment are: 1 C-arm X-ray fluoroscopy monitoring during operation, which can be inserted into the center of the tumor and reduce urethral injury; 2 because the operation through the perineal approach, not from the anteroposterior direction of the pubis, can reduce the rectum, bladder perforation Danger; 3 reduce accidental rectal puncture infection, but also avoid caesarean section; 4 have an appropriate scope of operation, if necessary, can be implanted on the tumor of the lateral edge; 5 use plexiglass template, can make needles rule, The dose is even and symmetrical, and the needle direction can be monitored under X-ray posterior and lateral views. 6 The distribution of the needle can be changed under fluoroscopy to overcome potential cold spots and hot spots.