| 张宏涛,周秋妹,杨华清,杨鑫,王香玉,隋爱霞,胡效坤,王娟.模板引导初学医师穿刺植入125I粒子用于模拟颅内肿瘤[J].中国医学影像技术,2022,38(7):1077~1080 |
| 模板引导初学医师穿刺植入125I粒子用于模拟颅内肿瘤 |
| Template for guiding puncture by beginner during 125I seeds implantation for simulated intracranial tumor |
| 投稿时间：2021-12-15 修订日期：2022-03-31 |
| DOI：10.13929/j.issn.1003-3289.2022.07.026 |
| 中文关键词: 脑肿瘤 碘放射性同位素 穿刺术 模板 体层摄影术,X线计算机 |
| 英文关键词:brain neoplasms iodine radioisotopes punctures template tomography,X-ray computed |
| 基金项目: 国家重点研发计划(2019YFE0120100)。 |
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| 中文摘要: |
| 目的 观察模板引导初学医师穿刺植入125I用于模拟颅内肿瘤的价值。方法 由1名经1天模板引导穿刺培训的肿瘤内科副主任医师分别徒手穿刺及在模板引导穿刺植入125I用于模拟颅内肿瘤,对比观察其效果,包括针尖向左或右侧(Dx)及头或足侧(DZ)偏移的距离、穿刺角度误差及剂量参数。结果 徒手与模板引导穿刺的Dx分别为7.2及1.6 mm,Dz为10.00(5.00,10.00)及5.00(0,5.00)mm,差异有统计学意义(Z=-7.489,P<0.001);穿刺角度误差分别为(5.89±2.23)°及1.00(1.00,2.00)°,差异有统计学意义(Z=-8.417,P<0.001)。模板引导穿刺与计划穿刺方案剂量参数的差距小于徒手穿刺。结论 模板引导初学医师穿刺植入125I用于模拟颅内肿瘤效果较好。 |
| 英文摘要: |
| Objective To observe the value of template for guiding beginner puncture during 125I seeds implantation for simulated intracranial tumor. Methods Manual puncture and template guided puncture were performed for 125I seeds implantation by a deputy chief physician of internal medicine of oncology who underwent one-day training of template guided puncture. The effects of 2 puncture methods were observed and compared, including deviation distance of left or right (DX) and head or foot (DZ) of needle tip, puncture angle error and dose parameters. Results DX of manual and template guided puncture was 7.2 and 1.6 mm, respectively, DZ was 10.00 (5.00, 10.00) and 5.00 (0, 5.00) mm, respectively, all were significant different (Z=－7.489, P＜0.001), while the puncture angle error was (5.89±2.23)° and 1.00 (1.00, 2.00)°, respectively, all were significant different (Z=－8.417, P＜0.001). The differences of dose parameters between planned puncture scheme and template guided puncture were smaller than those of manual puncture. Conclusion Template guided puncture by beginner during 125I seeds implantation had good effect for simulated intracranial tumor. |
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