[1]侯宁农　 赵卫生.三维立体定向放射治疗肺癌[J].中国微创外科杂志,2003,03(4):313-314.
　HouNingnong,Zhao Weisheng..Stereotactic radiotherapy for lung carcinoma[J].Chinese Journal of Minimally Invasive Surgery,2003,03(4):313-314.
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三维立体定向放射治疗肺癌()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
03
期数:
2003年4期
页码:
313-314
栏目:
出版日期:
2003-04-30

文章信息/Info

Title:
Stereotactic radiotherapy for lung carcinoma
作者:
侯宁农　 赵卫生
天津环湖医院外科,天津,300060
Author(s):
HouNingnong; Zhao Weisheng.
Department ofSurgery,TianjinHuanhuHospital,Tianjin 300060,China
关键词:
肺癌;  立体定向放射治疗
Keywords:
Lung; 　Carcinoma; 　Stereotactic radiotherapy
分类号:
R734.2
文献标志码:
A
摘要:
目的探讨立体定向放射治疗肺癌的临床疗效. 方法 27例肺癌采用CT定位2mm层厚连续扫描并通过图像重建,计算出临床靶体积(CTV),计划靶体积(PTV)及受累器官体积的照射量-体积直方图.应用德国Leibinger的立体定向系统和Varian 600c加速器进行治疗.采用中等剂量,每次5Gy～7Gy, 每日一次,连续治疗5次～8次. 结果本组27例肺癌在接受立体定向放射治疗过程中无死亡,患者一般状况评分采用Karnofsky(KPS)标准.术前KPS评分20～80分,平均59分.术后KPS评分20～100
Abstract:
Objective　To discuss the clinical effects of stereotactic radiotherapy in the management of lung cancer.　Methods　In- cluded in this studytherewere 27 patientswith lung cancer. Afterthe lesionswere localized by CTscanswith 2 mm slice thickness, the images were reconstructed and clinical tumor volume (CTV), planning tumor volume (PTV) and dose-volume histograms of the involved lung were calculated. By using Leibinger stereotactic radiotherapy planning system and Varian Clinic 600C, a series of 5~8 fractions of radiotherapy were carried out once dailywith 5~7 Gy per fraction.　Results　None of the 27 patients died during the treatment. General conditions of the patients were assessed by means of Karnofsky performance status (KPS). Preoperative KPS scores were 20~80 (mean 59), while postopera- tive KPS scores were 20~100 (mean 87). Follow-up information revealed 4 cases of complete remission, 17 cases of patial remission, 2 cases of no change and 4 progressed, with control rate being 85%.　Conclusions　Stereotactic radiotherapy provides excellent short-term curative effects in the treatment of lung carcinoma.

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更新日期/Last Update: 2014-07-02