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临床研究

核素89Srcl2治疗骨转移瘤患者的临床观察

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  • 成都市第五人民医院核医学科, 四川 成都 610130

收稿日期: 2014-03-14

  修回日期: 2014-08-18

  网络出版日期: 2014-11-06

Clinical Observation of 89Srcl2 Therapy in Patients with Bone Metastases

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  • Department of Nuclear Medicine, Chengdu Fifth People’s Hospital, Chengdu 611130, China

Received date: 2014-03-14

  Revised date: 2014-08-18

  Online published: 2014-11-06

摘要

目的 探讨核素89Srcl2对骨转移瘤患者的治疗效果。方法 75例肿瘤患者经全身骨扫描显像证实存在多发性骨转移瘤,使用核素89Srcl2治疗后,通过统计分析比较治疗前后骨痛的缓解程度、外周血象的改变及骨转移灶变化情况。结果 核素89Srcl2治疗骨转移瘤疗效明确,75例患者中60例疼痛出现不同程度的缓解,缓解率达80%(P<0.01),其中19例患者疼痛完全消失;而治疗前后外周血象无明显改变;患者骨转移灶缓解率达89%(P<0.01)。结论 核素89Srcl2对骨转移瘤患者的止痛效果好,毒副反应小,且骨转移灶缓解率高,是一种有效的治疗手段。

本文引用格式

胡德胜,石 磊 . 核素89Srcl2治疗骨转移瘤患者的临床观察[J]. 标记免疫分析与临床, 2014 , 21(5) : 540 . DOI: 10.11748/bjmy.issn.1006-1703.2014.05.014

Abstract

Objective To investigate the therapeutic effects of strontium-89 therapy in patients with bone metastases. Methods Seventy-five cancer patients with multiple bone metastases confirmed with whole body bone scan imaging were treated with strontium-89. The catabolic effects of bone pain, the changes of peripheral hemogram and bone metastases lesions were analyzed before and after strontium-89 therapy. Results Among seventy-five cases of patients, sixty cases appeared different degree of pain relief, and the remission rate was 80% (P<0.01); Nineteen patients pain disappeared completely. There was no significant change for peripheral hemogram during treatment period and the bone metastases remission rate in all cancer patients was 89% (P<0.01). Conclusion Strontium-89 therapy is an effective therapeutic method for patients with bone metastases with favorable effects on relieving pain, low reaction of toxicity and high remission rate.
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