716 34 4 2018 4 J Clin Hepatol Vol34 No4 Apr2018 125 I 2017 R735 9 B 1001-5256 2018 04-0716 - 08 Chinese expert consensus on treatment of pancreatic cancer by radioactive 125 I particle implantation 2017 Committee of Experts on Radioactive Particle Implantation Technology Chinese Medical Doctor Association Particle Treatment Branch Committee of Minimally Invasive Therapy in Oncology Chinese Anti - cancer Association Key words pancreatic neoplasms iodine radioisotopes therapy consensus 45 8% 9 0 10 3% 4 5 > 65 23 0% 3 0 7 2000 1998 2011 2061 2007 1657 19 6 1 86% 2 1% 20 27l 7 2 70 1 8 20 90 2 5 20 10 81 6% 2004 2005 3 7 1-4 2013 45 220 38 460 4 5 8 2002 4 6 9 1 25% 5 5% 6 ~ 10 3 ~ 6 Ⅱ ~ Ⅳ 0 5 0 1990 2000 8 2 14 2340 20 9% 17 1 125 I doi 10 3969 /j issn 1001-5256 2018 04 007 2018-02 - 27 2018-02 - 27 Ljgbdgsz@ 163 com Drzfj@ 126 com
717 125 I 2017 1 2017 V1 24 10-12 NCCN NCCN 10 13 14 2 125 I 1 > 3 2 3 4 5 < 3 CT 15-16 > 6 0 cm 17 125 I 1 2 25-3 27 125 I CT CT 18 4 - - 19 - - 30 28 29 20-22 23 3 CT
718 34 4 2018 4 J Clin Hepatol Vol34 No4 Apr2018 1 30-31 1 CT MRI MPD 80 ~ 145 Gy MPD 145 Gy 39 - Perez 9 136 6 Gy NCCN 42 6 6 1 CT 3D TPS 6 2 3D 3D 33-1 2 3 K3 4 3 d 24 h 5 6 ~ 12 h 30 min 1 6 3 3D CT 3D 5 NCCN 2017 V2 37 7 5 - FU 7 1 - - + 45 ~ 54 Gy - + 2015 50 ~ 60 Gy 45 ~ 54 Gy 60 Gy /10 38
719 125 I 2017 + + Roux - en - Y - CT Y 8 CT 24 h 1 CT 72 h 44 7 2 5 ~ 7 d 45 + 9 9 1 3 > 50 ml CT 46 42 CT CT 47
720 34 4 2018 4 J Clin Hepatol Vol34 No4 Apr2018 < 50 ml 57 1 1 9 1 12 1 CNKI 1994 2016 + + 125 + + 48 9 2 γ 72 12 2 2004 1990 2000 8 2 14 2340 49 Whipple 17 1 1071 45 8% 1 9 0 2 3 242 10 3% 4 5 538 23 0% 3 0 4 TNM Ⅰ Ⅱ 18 4% 311 Ⅲ Ⅳ 81 6% 45 10 17 1 Ⅲ 1071 9 0 242 50 1000 mg /m 2 30 min 4 5 538 1 3 1 8 17 3 12 3 51 72 1099 35 11 35 1 2 4 541 TNM Ⅰ 24 Ⅱ 127 Ⅲ CT CA19-9 291 Ⅳ 99 37 558 Ⅲ 2 3 ~ 6 1 12 170 489 20 9% 1381 NCCN Ⅱ 489 Ⅰ Ⅱ 19 2 Ⅲ 12 8 31 + 29
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