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89锶治疗前列腺癌骨转移的疗效观察
引用本文:胡志全,鲜于志群,叶章群,庄乾元,刘继红,张旭,杨为民,周四维.89锶治疗前列腺癌骨转移的疗效观察[J].临床泌尿外科杂志,2004,19(4):202-204.
作者姓名:胡志全  鲜于志群  叶章群  庄乾元  刘继红  张旭  杨为民  周四维
作者单位:1. 华中科技大学同济医学院附属同济医院泌尿外科,武汉,430030
2. 华中科技大学同济医学院附属同济医院核医学科
摘    要:目的:评价放射性核素^89锶(^89Sr)在前列腺癌骨转移中的治疗效果和不良反应。方法:观察31例前列腺癌骨转移患者使用^89Sr治疗后的止痛疗效、PSA变化、不良反应及血液学不良影响。结果:^89Sr治疗止痛总有效率为90.3%(28/31).PSA均有下降;不良反应主要为轻度可逆性骨髓造血功能损害;^89Sr对肝肾功能及电解质无明显不良影响。结论:^89Sr治疗前列腺癌骨转移疼痛效果明显.对前列腺癌骨转移灶亦有治疗作用.是一种安全有效的方法。

关 键 词:前列腺肿瘤    骨转移癌  止痛
文章编号:1001-1420(2004)04-0202-03
修稿时间:2003年11月17

A study on 89Sr in the treatment of bone metastases from prostate cancer
HU Zhiquan,XIANYU Zhiqun,YE Zhangqun,ZHUANG Qianyuan,LIU Jihong,ZHANG Xu,YANG Weiming,ZHOU Siwei.A study on 89Sr in the treatment of bone metastases from prostate cancer[J].Journal of Clinical Urology,2004,19(4):202-204.
Authors:HU Zhiquan  XIANYU Zhiqun  YE Zhangqun  ZHUANG Qianyuan  LIU Jihong  ZHANG Xu  YANG Weiming  ZHOU Siwei
Institution:HU Zhiquan 1 XIANYU Zhiqun 2 YE Zhangqun 1 ZHUANG Qianyuan 1 LIU Jihong 1 ZHANG Xu 1 YANG Weiming 1 ZHOU Siwei 1
Abstract:Objective:To evaluate the effectiveness of pain relief and toxicity of the 89Sr in the treatment of bone metastases from prostate cancer.Method:the effect of pain relief, the serum PSA level and the side effects of the 89Sr in 31 cases of bone metastases from prostate cancer were observed. The blood routine and blood biochemistry examination were tested.Result:The effective rate of pain relief was 90%(28/31), the PSA level reduced, and the main side effect were the mild reversible decrease of white blood cells, hemoglobin and platelets. 89Sr had little effect on blood biochemistry examination.Conclusion: 89Sr has a favourable effect in relief the pain caused by bone metastases from prostate cancer and also has therapeutic value on bone metastases themselves.
Keywords:Prostate neoplasms  Carcinoma  Bone metastases cancer  Pain relief
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