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目的:探讨放射性125I粒子植入治疗晚期肝癌的护理。方法:16例晚期肝癌患者,其中原发性肝癌并肝内转移9例,转移性肝癌7例。通过患者病灶的CT图像扫描,用三维实体定向放射治疗计划系统制定其粒子治疗计划,在CT定位引导下,经皮穿刺,按照计划将放射性125I粒子8～33粒通过微创手术植入患者肝内肿瘤部位。术前对患者做好健康宣教,术中做好配合,术后进行系统护理管理,积极预防术后并发症。结果:粒子术中种植成功率100/,术后无并发症发生。结论:放射性125I粒子植入治疗晚期肝癌,近期疗效满意,术后规范护理行为,预防并发症的发生,能提高患者生存率,降低病死率,改善预后。
Objective: To investigate the nursing of radioactive 125I seed implantation in the treatment of advanced liver cancer. Methods: Sixteen patients with advanced liver cancer, including 9 cases of primary liver cancer with intrahepatic metastasis and 7 cases of metastatic liver cancer. Through the CT images of the patient’s lesion, the three-dimensional stereotactic radiotherapy planning system was used to formulate the particle therapy plan. Percutaneous puncture was performed under the guidance of CT positioning. According to the plan, 8 to 33 radioactive 125I particles were implanted in patients with minimally invasive surgery The tumor site. Preoperative health education for patients, do a good job in surgery, postoperative systematic nursing management, and actively prevent postoperative complications. Results: Particle implantation success rate of 100 /, no postoperative complications. CONCLUSION: Radioactive 125I seed implantation in the treatment of advanced liver cancer has satisfactory curative effect in recent years. It can regulate the nursing behavior and prevent the complications after operation. It can improve the survival rate, reduce the mortality and improve the prognosis.