125 I放射性粒子治疗脊柱转移瘤的护理

目的：总结125 I放射性粒子治疗脊柱转移瘤的护理措施。方法对14例患者行125 I放射性粒子治疗脊柱转移瘤的护理，包括心理护理、术后病情观察、放射防护及并发症的护理。结果对9例行经皮椎体后凸成形术联合125 I放射性粒子植入，5例行瘤灶清除，椎板扩大减压，椎弓根内固定联合125 I放射性粒子植入术，未发现粒子移位及放射性脊髓炎，无围手术期死亡病例。13例患者术后经CT所证实肿瘤明显缩小，1例无改变。结论125 I放射性粒子治疗脊柱转移瘤是一种新的治疗肿瘤的方法，加强护理对控制病情、提高患者生存质量和预后疗效有重要作用。

Nursing of 125 I radioactive seed in the treatment of spinal metastases

Objective To summarize the nursing management of 125 I radioactive seed in the treatment of spinal metastases .Methods Fourteen patients with 125 I radioactive seed in the treatment of spinal metastases received the nursing intervention including psychological care , observation of disease after surgery , protection from radiation and nursing of complications .Results Nine patients received the percutaneous kyphoplasty combined with 125 I radioactive seed , and 5 patients received the dissection of tumors , laminectomy decompression , pedicle screw fixation and 125 I radioactive seed implantation .The displacement of particles and radioactive spinal cord inflammation were found in all patients .The cases of death were 0 cases during perioperative period .The volume of tumor was significantly reduced in 13 patients through the observation of CT, and was no changes in one patient .Conclusions 125 I radioactive seed in the treatment of spinal metastases is a new way to treat the tumor , and nursing intervention plays important roles of controlling the disease , improving the quality of life and prognosis of patients .