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中山医科大学孙逸仙纪念医院
纸质出版日期:1997-11-01
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[1]蒋宁一,王捷,吕斌,刘幸光.~(131)I 碘化油在阻断左肝静脉时动脉栓塞的动物实验研究[J].核技术,1997(11):43-46.
Jiang Ningyi Wang Jie Lu Bin Liu Xingguang. Experimental study of hepatic arterial embolization with 131I-lipiodol in temporary occlusion of the left hepatic vein[J]. Nuclear techniques, 1997, (11).
用131I标记碘化油作为肝动脉栓塞剂,对小猪行左肝静脉阻断下左肝动脉栓塞。131I碘化油标记用交换催化反应法,标记率在95%以上。术后定期作SPECT显像,通过图像了解肺/肝放射性计数比、全身放射性分布情况及核素体内衰变规律和病理变化。结果是肺/肝放射性计数比值于术后第1、3天明显降低,差别显著(P<0.05)。而术后第5、7、14天的比值,两组之间无明显差别(P>0.05)。131I-碘化油体内有效半衰期4.53天(中位数)。病理学检查,肝脏见散在斑点状小梗死灶,部分左叶包膜较增厚。镜下油栓处梗死灶凝固性坏死,纤维化改变。结果表明,暂时性阻断左肝静脉下行肝动脉131I碘化油栓塞,通过对肝血流动力学及肝内油栓分布的影响可提高栓塞效果,同时对急性肺栓塞也有一定的预防作用。
fter temporary occlusion of left hepatic vein
hepatic arterial embolization (HAE) were performed with 131 I-lipiodol
it can improve the effectiveness of HAE in treatment of hepatocillular carcinoma Using the pig as a model
during the course of embolization of the left hepatic artery with 131I-lipiodol
temporary occlusion of the left hepatic vein was done in the experimental group Lipiodol was labelled with 131I using exchanged reaction method The labelled rate was 95% The lung/liver radioactive ratio
radioactive distribution and the condition of radioactive decay in body was obtained by the SPECT imaging after operation The radioactive ratio of the lung/liver in experimental group was lower than that in control group (<005) on the 1st and 3rd days after operation and has no significant difference on the 5th
7th and 14th days (<005) The effective half-life of 131I-lipiodol was 453 day (median) The pathological change of experimental group was more severe than control group expressing spotty infarct
fibrinoid necrosis
coagulation necrosis etc The result of experiment showed that this method is safe
effective and can tentatively be used clinically
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