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san wei shi xing li ti fang she zhi liao fei xiao xi bao fei ai 42 li jin qi liao xiao guan cha
Author(s): 
Pages: 741-742
Year: Issue:  8
Journal: THE JOURNAL OF PROACTICAL MEDICINE

Keyword:  非小细胞肺三维适形放射治疗;
Abstract: 目的:观察非小细胞肺癌三维适形立体放射治疗的近期疗效及副反应.方法:对42例有手术禁忌证或其它原因无法手术的Ⅰ,Ⅱ及部分Ⅲ期非小细胞肺癌的病人先采用德国Leibinger全身三维适形立体定向放射治疗固定系统固定,然后在双螺旋CT上定位扫描,用Leibinger 3D-TPS设计治疗计划,Varian 600[ KG*1/4〗C/D直线加速器实施计划.对于原计划采用普通放射治疗的病人,先常规外照射, 然后对肿瘤局部用三维适形放射追加剂量至68~82 Gy,对NoMo且肿瘤<6 cm的肺癌则单用三维适形立体放射治疗,每次6~8 Gy,隔日1次(节假日不休息),共10~12次,总量68~82 Gy.结果:CR+PR95%(40/42).1例死于远处转移 ,4例出现放射性肺炎,占9.5%,经对症处理痊愈.结论:三维适形放射治疗对非小细胞肺癌有良好的姑息效果.尤其对病灶比较局限的N0M0肺癌,可以达到根治之疗效,且正常组织损伤小,安全、无创.
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