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Objevtive To investigate the safety of laparoscopic resection and ~(125)I seed implantation for recurrent gynecologic malignancies. Methods Laparoscopic surgery and ~(125)I seed implantation were used in five patients. All complications were recorded. Environmental radiation dose was detected at different distance from radioactive source and different time after operation with-γ-ray equipment. Results The procedure was safely achieved in all five patients. No serious complication was found. All patients experienced slight pain at the implant site and temporary vulva dropsy. With the increase of the distance from radioactive source and time passing, the radiation dose decreased quickly. The detected dose was close to a natural background radiation dose at the distance of 50cm from radioactive source and after 6 months. Conclusions Laparoscopic resection and ~(125)I seed implantation are safe to patient and environment.
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OBJECTIVE: To investigate the clinical efficacy of self-made 32P applicator for treating different kinds of keloid. others were treated with surgical excision combined with self-made 32P applicator. The 32P applicator was shaped according to the size and shape of the diseased region and the application time was calculated according to the dose rate and the decay correction. 4.0-5.0 Gy was applied in every diseased region in each of the four days (one course), and 4-6 courses in total was required, with 4 weeks of intervals following each course. For children, dose was reduced to 4 Gy or less once a day in every diseased region. Patients in the operation combined with application group were performed keloids excision first. Then 32P applicators were applied to the wound without any exudation in the same way as above. RESULTS: Of all the 39 patients (lesion thickness≤0.3 cm, 32P applicator therapy only), 32 ones was cured (82.1%), with the total effective rate of 98%. For patients with lesion thickness > 0.3 cm, the total effective rate of 32P applicator therapy and surgical excision combined with self-made 32P applicator were 55.6% and 93.3% respectively, and the difference was ofsignificance (P < 0.01 ). Among these patients, those with disease course less than 9 months had the effective rates of 25.0% and75.0% corresponding to 32P applicator therapy only and surgical excision combined with self-made 32p applicator respectively.For those with long course of disease, the effective rates were 13% and 77% respectively. A total of 26 patients experienced local buming and slight pain during the 32P applicator treatment, and all the symptoms were relieved by using calamine lotion; 5 patients and 2 patients expedencad grade Ⅰ and Ⅱ radio dermatitis respectively, which were relieved by using Mupirocin Ointment. No radio dermatitis of grade Ⅲ or above occurred to any patient. In addition, pigmentation or color changing occurred at local skins of cured patients.CONCLUSION: 32P applicator therapy is safe and effective for treating keloid. For patients with short disease course and lesion thickness ≤0.3 cm, 32P applicator therapy only is enough. Otherwise, patients are suggested to use 32P applicator after operation.
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Objective To investigate the radionuclide 99m TcO 4 imaging parameters of thyroid in hyperthyroid patients. Methods 200 patients with hyperthyroidism including 153 women and 47 men received radionuclide 99m TcO 4 plane scintigraphy for thyroid. Then the size and anatomic configuration of thyroid, tracer distribution, and the pyramid lobe appearance were analyzed.Results 400 images of thyroid lobes were obtained from 200 patients. The length of single thyroid lobe in 169 patients were between 5cm and 7cm, in 33 patients exceeded 7cm, and in 38 patients was less than 5cm. The width of single thyroid lobe in 144 patients were between 2.5cm and 3.5cm, in 6 patients exceeded 3.5cm, and in 85 patients ware less than 3.5cm. 61% of patients had the widened narrow part of thyroid. The tracer evenly distributed in most patients, and small multinodular thyroid and single nodular thyroid were found only in 9.0% and 3.2% patients respectively. Pyramid lobe appeared in 12 patients.Conclusion SPECT imaging paremeters of the thyroids in hyperthyroid patients mainly were a diffuse goiter with the widened narrow part of thyroid and without nodule and pyramid lobe.
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0 05).Conclusions Double phase 99 Tc m-MIBI imaging is a promising technique for localization of parathyroid adenomas. We consider that the patients should undergo the noninvasive imaging procedures before their initial neck exploration.