文章摘要
叶云飞杨倞孟岩△ 孙永健徐胜.三维适形放疗技术的治疗原发性肝癌的影响因素分析[J].,2012,12(27):5347-5349
三维适形放疗技术的治疗原发性肝癌的影响因素分析
Image Factors of the Three-Dimensional Conformal Radiotherapy
  
DOI:
中文关键词: 三维适形放疗技术  原发性肝癌  影响因素
英文关键词: Three-dimensional conformal radiotherapy technology  Primary liver cancer  Radiation dose  Effect
基金项目:
作者单位
叶云飞杨倞孟岩△ 孙永健徐胜 第二军医大学附属东方肝胆外科医院放疗中心 
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中文摘要:
      目的:探讨影响三维适形放疗(3-Dimensional conformal radiotherapy,3DCRT)治疗原发性肝癌的影响因素。方法:收集2008 年1 月到2010 年12 月间58 例我院原发性肝癌病人,先通过CT 扫描定位勾画靶区,经实时验证参数后实施适形放射治疗。观察 疗效。并运用Cox 回归模型对肿瘤大小、肿瘤分期、肝功能和甲胎蛋白(AFP)水平和照射剂量因素进行分析。结果:完全缓解(CR) 13 例,部分缓解(PR)35 例,总有效(CR+PR)率为82.76%,1、2、3 年生存率分别为69.5%、43.10%、27.57%。肿瘤大小、肿瘤分期、甲 胎蛋白水平和照射剂量可影响3DCRT 效果(P 小于0.05),肝功能对3DCRT 效果(P 小于0.05)。结论:肿瘤分期、肝功能和甲胎 蛋白(AFT)水平,分割方式、照射剂量和效应可影响三维适形放疗治疗原发性肝癌的效果。
英文摘要:
      Objective: To investigate the impact of three-dimensional conformal radiotherapy (3-Dimensional conformal radiotherapy with 3DCRT) treatment of primary liver cancer influencing factors. Methods: 58 cases of hospital patients with primary liver cancer in January 2008 to December 2010, the first CT scan positioning outlined target, the implementation of conformal radiation therapy after real-time authentication parameters. Effects were observed. And the use of Cox regression model on the tumor size, tumor stage, liver function and alpha-fetoprotein (AFP) levels and radiation dose factors were analyzed. Results: Complete remission (CR) 13 cases, partial remission (PR), 35 cases, the total effective (CR+PR) rate was 82.76%, 1-, 2-and 3-year survival rates were 69.5%, 43.10%, 27.57%. Tumor size, tumor stage, alpha-fetoprotein levels and radiation dose can affect the the 3DCRT effect (P less than 0.05), liver function, the the 3DCRT effect (P less than 0.05). Conclusion: Tumor stage, the level of liver function and alpha-fetoprotein (AFT), partitioned, radiation dose and effects may influence the effect of three-dimensional conformal radiation therapy for primary liver cancer.
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