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目的 探讨CT引导经皮经胃穿刺125I植入治疗晚期胰头癌的价值.方法 2005年来在我院确诊的晚期胰头癌患者18例,在CT引导下经皮经胃穿刺植入125I粒子,在术后1,3个月CT随访,评价肿瘤的大小、密度以及VAS评分.结果 所有患者术后均取得成功,术后3个月均成活.CT复查评估CR 2例,PD 11例,SD 4例,PD 1例;VAS评分2~7分,有效率为61.11%.结论 CT经皮经胃穿刺125I植入对治疗晚期胰头癌有着一定的价值,并能缓解患者的癌性疼痛.“,”Objective To discuss the value of CT guided percutaneous transgastric puncture 125 I implantation therapy of advanced pancreatic head carcinoma.Methods 18 cases of patients with mine confirmed advanced pancreatic head cancer since 2005 were CT guided percutaneous transgastric puncture implanted 125 I particles.Patients were followed up by CT in postoperative 1 and 3 months to evaluate the tumor size,density and VAS score.Results All patients were successfully operated and survived in the postoperative 3 months.CT reexamination assessed that there were 2 cases of CR,11 cases of PD,4 cases of SD and 1 case of PD;VAS scores were from 2 to 7 points and the effective rate was 61.11%.Conclusion CT guided percutaneous transgastric puncture 125I implantation therapy of advanced pancreatic head carcinoma has a certain value and can relieve cancerous pain of pa -tients.