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非小细胞肺癌三维适形放疗的疗效分析
引用本文:张彩清,李慧智,薛晓弘.非小细胞肺癌三维适形放疗的疗效分析[J].基层医学论坛,2008,12(7):195-196.
作者姓名:张彩清  李慧智  薛晓弘
作者单位:同煤集团肿瘤医院,山西,大同,037003
摘    要:目的探讨三维适形放射治疗(3DCRT)对高龄非小细胞肺癌(NSCLC)患者的临床疗效和不良反应。方法53例非小细胞肺癌患者,采用三维适形放射治疗,照射剂量DT2.0Gy/次,5次/周,DT总量64~70Gy;放疗后1个月~3个月行胸部CT检查评价疗效。结果53例患者中,完全缓解(cR)17例,部分缓解(PR)30例,稳定(SD)4例,进展(PD)2例,总有效率88.7%(47/53);不良反应主要是放射性肺炎、放射性食管炎、白细胞减少,多属I~Ⅱ级,经对症处理后恢复。结论三维适形放射治疗对高龄非小细胞肺癌患者的近期疗效较好,且不良反应较轻,尚可耐受。

关 键 词:非小细胞肺癌  三维适形放疗  疗效

Therapeutic effect of three-dimensional conformal radiotherapy on non-small cell lung cancer
Zhang Caiqing,Li Huizhi,Xue Xiaohong.Therapeutic effect of three-dimensional conformal radiotherapy on non-small cell lung cancer[J].Public Medical Forum Magazine,2008,12(7):195-196.
Authors:Zhang Caiqing  Li Huizhi  Xue Xiaohong
Institution:Zhang Caiqing,Li Huizhi,Xue Xiaohong.Department of Oncology,The Tumour Hospital of Coal Group Company,Datong 037003,China
Abstract:Objective To discuss therapeutic effect and side effect of three-dimensional conformal radiotherapy (3DCRT) in elderly patients with non-small cell lung cancer.Methods 53 patients with non-small cell lung cancer with received three-dimensional conformal radiotherapy(3DCRT),DT 2.0Gy/T,5T/W,the overall DT 64-70Gy;CT examination was performed in the 1 to 3 month followed-up period to verify the therapeutic effects.Results Among 53 patients, 17 patients were CR,30 patients PR,4 patients SD,2 patients PD,Total effective rate(CR PR)was 88.7 % .The main side effect was radioactive pneumonitis,radioactive esophagitis,neutropenia. But they were tolerable.Conclusion 3DCRT was an effective and tolerable regimen for treatment of elderly non-small cell lung cancer.
Keywords:Non-small cell lung cancer Three-dimensional conformal radiotherapy Efficacy
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