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首页> 外文期刊>Journal of Clinical Ultrasound: JCU >Intraoperative sonographic guidance for intracavitary brachytherapy of cervical cancer
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Intraoperative sonographic guidance for intracavitary brachytherapy of cervical cancer

机译：宫内超声检查引导宫颈癌近距离放射治疗

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ABSTRACT Background To describe the role and benefits of intraoperative sonographic (US) guidance in intracavitary brachytherapy of cervical cancer. Methods The data of 142 patients who received tandem‐based intracavitary brachytherapy for cervical cancer between January 2010 and June 2015 were retrospectively reviewed. US guidance was carried out for tandem selection and appropriate application. The complications and applicator conformity were assessed with planning CT. Results Intracavitary brachytherapy was performed under US guidance for 412 insertions in 113 consecutive patients with cervical cancer. Before we started to use US guidance, applications were done in 29 patients: uterine perforation occurred in two patients (6.9%), the tandem length was short in two patients (6.9%), the tandem length was long in four patients (13.8%), and tandem was in myometrium in three patients (10.3%). We then decided to use US guidance routinely. With US guidance, only 1 of 113 patients had uterine perforation (0.9%), tandem length was short in only one patient (0.9%), and tandem was in myometrium in one patient (0.9%). Conclusions Real‐time US provided safe and effective guidance for intracavitary brachytherapy of cervical cancer resulting in decreased rates of perforations and misplacement of applicators. ? 2017 Wiley Periodicals, Inc. J Clin Ultrasound 46 :8–13, 2018;
机译：摘要背景来描述术中超声术（美国）在宫颈癌内部近距离放射治疗中的术中超声波（美国）指导的作用和益处。方法回顾性审查2010年1月至2015年6月至6月期间接受术争基于宫颈癌的142名患者的数据。美国指导是为串联选择和适当申请进行的。用规划CT评估并发症和涂抹器一致性。结果在113名连续宫颈癌患者中，在美国指导下，在美国指导下进行了术治疗的颅内近距离放射治疗。在我们开始使用美国指导之前，申请在29名患者中完成：两名患者发生子宫穿孔（6.9％），两名患者的串联长度短短（6.9％），串联长度在4名患者中长（13.8％） ），三名患者（10.3％），串联在肌瘤中。然后我们决定常规使用美国指导。通过美国指导，只有113名患者中只有1名患者穿孔（0.9％），串联长度只有一名患者（0.9％），并且在一个患者的肌肌中串联（0.9％）。结论实时美国提供了宫颈癌内部颅内放射治疗的安全有效指导，从而降低了穿孔率和施用者的错位。还2017 Wiley期刊，Inc.J Clin超声46：8-13,2018;

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