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胰头(PH)与肝外胆管(EHBD)癌初诊时常不能切除。外照射(EBRT)、化疗可起到姑息与个别人延长生存的作用;间质近距离治疗(IBT)与术中电子线放疗(IOEBRT)可给肿瘤高剂量,且可避开周围正常组织,故改善了最终结果。这些方法虽得到肯定,但术后并发症仍较多。 作者报道12例(EHBD5例,PH7例)用新的姑息法(腔内近距离治疗—ILBT)治疗的经验,目的在于确定它在处理不能手术的PH与EHBD癌中的作用。男性8例,女性4例,年龄54～87岁,中数72岁。均有黄疸,胆红素5～32.3mg/100ml,中数12.8mg。治
Head of the pancreas (PH) and extrahepatic bile duct (EHBD) cancer often cannot be removed at the first visit. External beam irradiation (EBRT) and chemotherapy can play a role in palliative and individual prolonged survival; interstitial brachytherapy (IBT) and intraoperative electron beam radiotherapy (IOEBRT) can give high doses of tumor and can avoid surrounding normal tissues. Therefore, the final result is improved. Although these methods are affirmed, there are still many postoperative complications. The authors reported 12 cases (5 cases of EHBD, 7 cases of PH) treated with a new palliative treatment (intracavity brachytherapy-ILBT) to determine its role in the treatment of inoperable PH and EHBD cancers. There were 8 males and 4 females, aged 54-87 years and median age 72 years. There are astragalus, bilirubin 5 ~ 32.3mg/100ml, the number of 12.8mg. rule