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目的 探讨腹腔镜下组织间置管后装治疗晚期肿瘤的临床价值。 方法 经腹腔镜癌组织间插管行后装治疗晚期肿瘤 6例 ,肝癌 1例 ,前列腺癌 3例 ,直肠癌术后盆腔复发 2例 ,后装于插管后第二天进行 ,放射源为铱 - 192 ,总量为 2 4Gy ,分 4次 ,连续 4天完成。 结果 1例直肠癌术后盆腔复发病例 ,放疗后肿块显著缩小 ,予以切除 ,达完全缓解 (CR) ,其他 5例达部分缓解 (PR)。 结论 腹腔镜下组织间插管后装治疗晚期肿瘤 ,操作简单、创伤轻微、安全有效、经济适用 ,尤其适用于不能耐受手术和不愿手术的老年患者
Objective To investigate the clinical value of laparoscopic tissue-in-tube post-treatment for advanced cancer. Methods After laparoscopic intubation, 6 cases of advanced tumors, 1 case of liver cancer, 3 cases of prostate cancer and 2 cases of pelvic recurrence after rectal cancer were placed in the second day after intubation. The radioactive sources were Iridium - 192, a total of 2 4Gy, 4 times, 4 days to complete. Results In 1 case of pelvic recurrence after rectal cancer, the mass of tumor was significantly reduced after radiotherapy, and was completely resected (CR). The other 5 patients achieved partial remission (PR). Conclusion Laparoscopic intubation after intubation for the treatment of advanced cancer, simple operation, minor trauma, safe and effective, affordable, especially for elderly patients who can not tolerate surgery and reluctance to surgery