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1. 上海市黄浦区中心医院
2. 上海市黄浦区中心医院,上海,200002
纸质出版日期:2002-11-01
移动端阅览
[1]高克加,王建华,叶智卫,刘红旗,黄祥,陈海林,杨光,张树忠,蒋树娟,何斯梅,陈荣根.~(32)P-GTMS治疗前列腺增生的动物研究及初步临床应用探讨[J].核技术,2002(11):924-930.
GAO Kejia WANG Jianhua YE Zhiwei LIU Hongqi HUANG Xiang CHEN Hailin YANG Guang ZHANG Shuzhong JIANG Shujun HE Simei CHEN Ronggen. The animal investigation on the treatment of prostate proliferation by32P-GTMS and its preliminary study of clinical application[J]. Nuclear techniques, 2002, (11): 924-930.
[1]高克加,王建华,叶智卫,刘红旗,黄祥,陈海林,杨光,张树忠,蒋树娟,何斯梅,陈荣根.~(32)P-GTMS治疗前列腺增生的动物研究及初步临床应用探讨[J].核技术,2002(11):924-930. DOI:
GAO Kejia WANG Jianhua YE Zhiwei LIU Hongqi HUANG Xiang CHEN Hailin YANG Guang ZHANG Shuzhong JIANG Shujun HE Simei CHEN Ronggen. The animal investigation on the treatment of prostate proliferation by32P-GTMS and its preliminary study of clinical application[J]. Nuclear techniques, 2002, (11): 924-930. DOI:
采用3 2 P -GTMS治疗前列腺增生
能抑制前列腺间质细胞增生
改善排尿障碍症状。 (1)取 7条雄性健康草犬
以 2 5mg/kg丙睾每周 3次肌肉注射
持续 30d
制成前列腺增生模型。 5条草犬模型在超声引导下注入 9.2 5— 74MBq/mL不等的3 2 P -GTMS
分别于 30、6 0、90d活检
了解前列腺破坏、缩小数据。 2条草犬模型不予3 2 P -GTMS治疗
维持肌肉注射丙酸睾酮
直至治疗草犬疗效观察结束后作前列腺增生后缩小率比较。 (2 )根据草犬模型提供资料对 34例前列腺增生患者也行在超声引导下穿刺
注入3 2 P -GTMS 111± 18.5MBq
分别于 30、6 0、90d测定前列腺容积
尿流率
残余尿及I -PSS评分结果
部分患者作活检病理。表明 7条草犬经注射丙酸睾酮后 30d
前列腺平均增大 2倍以上。经3 2 P -GTMS治疗的 5条前列腺增生模型草犬的前列腺均出现前列腺细胞变性
炎性细胞浸润。当3 2 P -GTMS用量大于 13.88MBq/mL时呈显效结果
90d平均缩小率 >4 3.4 %
而对照组平均缩小率 <13%。 34例前列腺增生患者治疗 90d后前列腺缩小 17%
最大尿流率增加 4 1%
残余尿减少 74 %
I -PSS评分下降 31%
(P <0 .0 1)。病理切片结果显示 :增生前列腺细胞变性
萎缩。实验结果提示
采用B超引导下穿刺
在增生的前列腺内注入3 2 P
The radiation from 32P-GTMS was used to suppress the proliferation of prostate mesenchymal cell and improve the symptom of dysuria. (1) 25mg/kg of testosterone propionate were intramuscularly injected into 5 male healthy dogs three times a week for 30 days to establish the prostate proliferation model. Under the guidance of ultrasonography 9.25-74mBq/mL of 32P-GTMS were injected and 30
60
90 days post injection biopsy were examined to get the data of prostate destruction and its shrinking. Another 2 dogs were not treated with 32P-GTMS
but injected with testosterone propionate to serve as controls. Then we compare the rate of proliferatioe of prostate proliferation. (2) According to the data from dogs
111±18.5mBq of 32P-GTMS were injected to 34 prostate proliferation patients under the guidance of ultrasonography and the prostate volume
urine flow
remnant urine and I-PSS scores were recorded at 30
60 and 90 days post injection. In dogs
30 days after the injection of testosterone propionate
the prostate were enlarged more than 2 times. After treatment with 32P-GTMS
5 dogs all showed cytometaplasia and mesenchymal cell infiltration. After 90 days the average shrinking rate was larger than 43.4%
the average shrinking rate of compare group was loss than 13%. The average shrinking rate of 34 cases of prostate proliferation patients are 17% and the urine flow increased by 41%
remnant urine were decreased by 74% and I-PSS score decreased by 31%
(P<0.01). Pathological sections showed degeneration and atrophy of the prostate measenchymal cell. The method is an easy and non- painful way that can shrink the prostate and make the emiction freely.
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