俯卧位腹部托板用于直肠癌术后辅助性放疗的剂量学研究
被引量:4
摘要
近十几年来,尽管直肠癌手术方式有了一些改进,但直肠癌单纯手术后局部复发率仍达20%~60%。研究结果表明对手术证实肿瘤穿透肠壁全层和(或)淋巴结转移者,术后采用同步放化疗可以有效降低局部复发率,并提高生存率。但术后由于腹盆解剖结构的破坏,更多体积的正常组织(如小肠、膀胱)受到照射,不少患者出现了较为严重的急性和(或)长期毒副作用。
出处
《中华放射肿瘤学杂志》
CSCD
北大核心
2007年第5期400-402,共3页
Chinese Journal of Radiation Oncology
参考文献9
-
1Myerson RJ,Valentini V, Bimbaum EH,et al. A phase Ⅰ/Ⅱ trail of three- dimensi - onally planned concurrent boost radiothe-rapy and protracted venous infusion of 5 - FU chemotherapy for locally advanced rectal carcinoma. Int J Radiat Oncol Biol Phys, 2001, 50 : 1299-1308.
-
2Glimelius B, Gronberg H, Jarhult J, et al. A systematic overview of radiation therapy effects in rectal cancer. Acta Oncol, 2003, 42 (5-6) : 477-492.
-
3Bragg CM, Conway J, Robinson MH. The role of intensity modulated radiotherapy in the treatment of parotid tumors. Int J Radiat Oncol Biol Phys, 2002, 52:729-738.
-
4Temple WJ, Saettler EB. Locally recurrent rectal cancer: role of composite resection of extensive pelvic tumors with strategies for minimizing risk of recurrence. J Surg Oncol, 2000, 73 : 47-58.
-
5Baglan KL, Frazier RC, Yan D, et al. The dose-volume relationship of acute small bowel toxicity from concurrent 5-Fu-based chemotherapy and radiation therapy for rectal cancer. Int J Radiat Oncol Biol Phys, 2002, 52: 176-183.
-
6Jereczek-Fossa BA, Badzio A, Jassem J. Factors determining acute normal tissue reaction during postoperative radioth radiotherapy in endometrial cancer analysis of 317 consecutive cases. Radiother Oncol, 2003, 68: 33-39.
-
7钱立庭,金大伟,刘新帆,李晔雄,宋永文,余子豪.直肠癌术后辅助性放疗不同照射技术的剂量学研究[J].中华放射肿瘤学杂志,2005,14(6):483-486. 被引量:51
-
8金晶,李晔雄,王绿化.Ⅱ~Ⅲ期可切除直肠癌的综合治疗[J].癌症进展,2006,4(3):225-234. 被引量:10
-
9Duthoy W, De Gersem W, Vergote K, et al. Clinical implementation of intensity- modulated arc therapy (IMAT) for rectal cancer. Int J Radiat Oncol Biol Phys, 2004, 60: 794-806.
二级参考文献47
-
1[1]Rich T,Gunderson LL,Lew R,et al.Patterns of recurrence of rectal cancer after potentially curative surgery.Cancer,1983,52:1317
-
2[2]Mendenhall WM,Million RR,Pfaff WW.Patterns of recurrence in adenocarc in oma of the rectum and rectosigmoid treated with surgery alone:Implications in treatment planning with adjuvant radiation therapy.Int J Radiat Oncol Biol Phys,1983,9:977
-
3[3]Walz BJ,Green MR,Lindstrom ER,et al.Anatomical prognostic factors after abdominal perineal resection.Int J Radiat Oncol Biol Phys,1981,7:477
-
4[4]Pilipshen SJ,Heilweil M,Quan SH,et al.Patterns of pelvic recurrence following definitive resections of rectal cancer.Cancer,1984,53:1354
-
5[5]Stockholm Rectal Cancer Study Group.Preoperative short-term radiation therapy in operable rectal carcinoma.A prospective randomized trial.Cancer,1990,66:49
-
6[6]Wong CS,Stem H,Cummings BJ.Local excision and postoperative radiation therapy for rectal carcinoma.Int J Radiat Oncol Biol Phys,1993,25:669
-
7[7]Camma C,Giunta M,Fiorica F,et al.Preoperative radiotherapy for resectable rectal cancer:A meta-analysis.Jama,2000,284:1008
-
8[8]Russell AH,Harris J,Rosenberg PJ,et al.Anal sphincter conservation for patients with adenocarcinoma of the distal rectum:Long-term results of radiation therapy oncology group protocol 89-02.Int J Radiat Oncol Biol Phys,2000,46:313
-
9[9]Higgins GA,Humphrey EW,Dwight RW,et al.Preoperative radiation and surgery for cancer of the rectum.Veterans Administration Surgical Oncology Group Trial Ⅱ.Cancer,1986,58:352
-
10[10]Gerard A,Buyse M,Nordlinger B,et al.Preoperative radiotherapy as adjuvant treatment in rectal cancer.Final results of a randomized study of the European Organization for Research and Treatment of Cancer (EORTC).Ann Surg,1988,208:606
共引文献57
-
1李莉萍.直肠癌放射治疗技术进展及探讨[J].世界最新医学信息文摘,2019,0(98):173-174. 被引量:3
-
2牛广宇,马延霄,张潇.替吉奥联合三维适形放疗治疗老年晚期直肠癌的疗效观察[J].临床研究,2015,23(5):66-67. 被引量:1
-
3王玮,解晓霞.常规分割立体定向适形放疗直肠癌术后局部复发或转移的临床探讨[J].中国社区医师(医学专业),2006,8(20):59-59.
-
4蔡勇,何玉香,韩树奎,吴昊,弓健,徐博.直肠癌盆腔常规放疗与三维适形放疗的剂量学研究[J].中华放射肿瘤学杂志,2007,16(3):201-205. 被引量:20
-
5周淼,安雅臣.直肠癌术前放疗联合同步化疗和单纯手术疗效的比较分析[J].中国综合临床,2008,24(7):713-715.
-
6邵震宇,张建东,于金明,李岩,刘凤军.三维适形放疗同步化疗直肠癌术后局部复发或盆腔转移的疗效观察[J].中华放射肿瘤学杂志,2008,17(5):358-360. 被引量:7
-
7王斌梁,曾昭冲,杜世锁,许剑民,曾蒙苏.直肠癌术后复发转移部位规律及对放疗靶区设计的意义[J].中国医药指南(学术版),2008,6(19):1-5. 被引量:6
-
8姚波,郑明民,王平,张艳.直肠癌五野调强放疗与传统适形放疗剂量学研究[J].临床肿瘤学杂志,2009,14(5):446-449. 被引量:20
-
9马景光,邢丽娜,魏星,刘晓.三维适形放疗治疗宫颈复发癌的临床观察[J].临床肿瘤学杂志,2009,14(6):551-553. 被引量:7
-
10张玉海,李月敏,夏火生,韩守云,李苹,刘志晨.直肠癌术后调强放疗和三维适形放疗剂量学比较研究[J].肿瘤研究与临床,2009,21(8):450-452. 被引量:9
同被引文献29
-
1于金明,袁双虎.图像引导放射治疗研究及其发展[J].中华肿瘤杂志,2006,28(2):81-83. 被引量:100
-
2Weisenburger T H. Effects of postoperative mediastinal radiation on completely resected stage Ⅱ and stage Ⅲ epidermoid cancer of the lung. LCSG 773[J]. Chest, 1994,106 (6 Suppl) :297S-301S.
-
3Olofsen-van Acht M, van den Berg H, Quint S, et al. Reduction of irradiated small bowel volume and accurate patient positioning by use of a bellyboard device in pelvic radiotherapy of gynecological cancer patients[J]. Radiother Oncol, 2001,59 ( 1 ) : 87-93.
-
4Allai A S, Bischof S, Nouet P. Impact of the "belly board" device on treatment reproducibility in preoperative radiotherapy for rectal cancer[J]. Strahlenther Onkol, 2002,178 (5) : 259-262.
-
5Glimelius B, Gronberg H, Jarhult J, et al. A systematic overview of radiation therapy effects in rectal cancer[J]. Acta Oncol,2003,42(5-6) :477-492.
-
6Weisenburger TH. Effects of postoperative mediastinal radiation on completeiy resected stage Ⅱ and stage Ⅲ epidermoid cancer of the lung. Chest,1994,106 Suppl 6:297-301.
-
7Km TH, Km DY, Cho KH, et al. Comparative analysis of the effects of belly board and bladder distension in postoperative radiotherapy of rectal cancer patients. Strah lenther Onkol,2005, 181:601-605.
-
8Allal AS, Bischof S, Nouet P. Impact of the "belly board" device on treatment reproducibility in preoperative radiotherapy for rectal cancer. Strahlenther Onkol,2002,178:259-262.
-
9Glimelius B, Gronberg H,jarhult J,et al. A systematic overview of radiation therapy effects in rectal cancer. Acta Oncol, 2003,42: 477-492.
-
10Szabo Zv Agoston P.Major T.et al. Comparison of CT-and MRIbased clinical target volumes for 3-dimensional conformal external-be am radiotherapy of prostate cancer[J]. Magy Onkol , 2012.56(4):266-272.
引证文献4
-
1李明,邱云芳,赵永亮,刘海涛,冯进进.腹部固定板在直肠癌术后放疗中的作用[J].中华实用诊断与治疗杂志,2012,26(10):1018-1019. 被引量:1
-
2李明,储开岳,蔡晶,丁华,黄灿红,许青.改进型腹板与热塑模联合固定在直肠癌术后放疗中的应用研究[J].中华放射肿瘤学杂志,2013,22(1):34-35. 被引量:8
-
3彭庆国,尹勇,余宁莎,陈进琥,巩贯忠.三种体位固定技术在盆腔肿瘤放疗中的应用比较[J].中华肿瘤防治杂志,2015,22(12):974-977. 被引量:24
-
4黄思娟,钟梓悦,唐皓,刘洋,何梦雪,郭旋,何立儒,林志悦,姚文燕,许森奎,杨鑫.肠道膀胱准备下不同固定方式对前列腺癌精准放疗影响[J].中华放射肿瘤学杂志,2022,31(8):716-721. 被引量:2
二级引证文献35
-
1李明,蔡晶,储开岳.基于图像引导分析胸部肿瘤患者2种摆位误差产生的原因及影响[J].中华实用诊断与治疗杂志,2013,27(7):686-687. 被引量:11
-
2孙彩萍,王建芳,叶万立,陈遐林,朱晓灵,刘秋霞.直肠癌术后调强放疗和适形放疗靶区剂量学研究及危及器官毒性观察[J].中国现代医学杂志,2014,24(1):54-57. 被引量:7
-
3李明,黄灿红,储开岳,徐雪峰,郝其洁.改进型腹板在直肠癌术后放疗中的应用[J].肿瘤研究与临床,2014,26(6):397-399. 被引量:3
-
4曹飞,李明,储开岳.激光定位系统应用在改进型腹板中提高放疗患者体位重复性的研究[J].肿瘤研究与临床,2014,26(9):624-625.
-
5陈国付,王彬冰,方临明,张飞燕,颜桂明,周钗,孙龙,张强克,单国平,罗加林.直肠癌放疗简易泡沫垫摆位误差分析[J].中国基层医药,2015,22(17):2561-2563.
-
6曹启军,李艳红,苗永兴,刘轶群,孙益青,董蕊.不同体质量指数直肠癌患者放疗摆位误差的分析[J].中国医师进修杂志,2016,39(2):140-143. 被引量:5
-
7张素美,刘广升.3种不同体位固定技术在腹部肿瘤术后调强放疗的摆位误差及重复性分析[J].解放军医药杂志,2017,29(1):54-57. 被引量:17
-
8黄洪林,唐朝晖,江拥军,刘聪.不同体位固定技术在胸腹部肿瘤放射治疗中的应用比较[J].中国疗养医学,2017,26(4):404-406. 被引量:22
-
9宋伟男,王波,陈存海.直肠癌患者不同体质量指数对摆位误差的影响[J].中国继续医学教育,2017,9(10):68-69.
-
10谢红亮,曹洋森,孙永健,刘永明.锥形束CT在盆腔肿瘤放射治疗摆位中的临床应用[J].系统医学,2016,1(9):121-123. 被引量:4
-
1王佩国(综述),王平(审校).肢体软组织肉瘤保守性手术辅助放射治疗现状[J].国际肿瘤学杂志,2008,35(7):544-546.
-
2孟岩,张柏和.肝门部胆管癌辅助性放疗研究进展[J].中国癌症杂志,2004,14(2):197-200. 被引量:2
-
3魏冬梅,方芳.子宫内膜癌术后辅助放射治疗进展[J].实用妇产科杂志,2008,24(4):211-213. 被引量:9
-
4曹雪玲.脑转移瘤患者放疗期间的护理[J].中国药物与临床,2011,11(6):738-739. 被引量:4
-
5S.L.Roth,U.Nitz,D.Mosny,夏军.子宫颈癌术后辅助性放疗或化疗的意义——第1部分:子宫颈癌的辅助性放疗[J].德国医学,1995,12(4):232-234.
-
6徐立斌,于胜吉,邵永孚,张宏图,赵振国.腺泡状软组织肉瘤的临床和预后分析[J].中华肿瘤杂志,2007,29(10):778-780. 被引量:13
-
7王跃珍,杜向慧,马胜林.乳腺癌根治术或改良根治术后辅助性放疗现状[J].浙江医学,2008,30(12):1406-1408. 被引量:5
-
8于海丽,袁智勇,王平,王志震.上皮样肉瘤6例诊治分析[J].实用癌症杂志,2008,23(1):76-78. 被引量:7
-
9林集荣,陈祥鹏.前列腺肉瘤的诊治体会(附五例报告)[J].海南医学,2006,17(10):99-100.
-
10陆小玲.盆腔肿瘤术后辅助性放疗致放射性肠炎的临床分析[J].现代诊断与治疗,2013,24(10):2270-2270. 被引量:3