从临床实践看移动条野放射治疗肝癌的价值  

The value of clinical practice of the moving split fields radiotherapy for liver cancer

作　　者：郑作深[1] 

机构地区：[1]中山大学附属江门医院江门市中心医院肿瘤科,广东江门529070

出　　处：《胃肠病学和肝病学杂志》2009年第7期672-677,共6页Chinese Journal of Gastroenterology and Hepatology

基　　金：广东省重点科技攻关项目(粤科字[1996]46号)

摘　　要：肝癌具有恶性程度高的生物学特性,极易发生早期肝内侵袭转移。肝癌传统治疗是长期聚焦主体肿瘤,存在对肝内侵袭转移治疗依然被忽视的局限性,导致复发率极高,是制约肝癌根治性治疗的关键。作者对移动条野放射技术基础理论和20余年临床实践研究取得重大突破,证实移动条野照射作为一种技术有其本身适应证和应用价值,能够有效控制主体肿瘤和治疗肝内转移子瘤新技术,对肝癌转移复发的防治具有重要临床意义。从临床实践总结出"中国特色"综合治疗肝癌新策略既要治疗主体肿瘤,又要治疗肝内侵袭转移,还要保存机体功能,值得学术界重视。从临床实践看移动条野放射治疗肝癌的价值不仅是肿瘤专业医生要重新认识肝癌生物学特性,而且所有医生都应了解,发挥其应有作用,让更多肝癌患者获益,更好地造福于患者。Liver cancer is a primary malignancy of the liver with early intrahepatic invasion and metastasis. Traditional treatment for liver cancer is a long-term focus on the main tumor. However, the treatment of intrahepatic invasion and metastasis is not enough emphasized so that results in a high relapse rate, which is the key of restricting the radical treatment of hepatocellular carcinoma. The article author has gained a major breakthrough in moving split technology infrastructure radiation field theory through clinical practice more than 20 years. The moving strip irradiation technology has been proved that can effectively control the main tumor and treat for intrahepatic metastasis from cervical tumor. It has clinical significance of the prevention and treatment for liver cancer metastasis and recurrence. The proposed new strategy of ＂Chinese characteristics＂ of comprehensive liver cancer treatment from clinical practice not only treat the main tumor, but also treat intrahepatic invasion and metastasis, and preserve the body function. The more and more patients will benefit from that the tumor specialists and other medical specialialists comprehend the new moving strip radiotherapy for liver tumors.

关 键 词：肝癌 放射治疗 移动条野放射 肿瘤转移复发 

分 类 号：R730.55[医药卫生—肿瘤] R735.7[医药卫生—临床医学]