热塑性头颈肩膜开窗技术在喉癌患者放疗中的应用  

Study on influence of thermoplastic mask on radiation dermatitis for patients with laryngeal cancer

作　　者：彭纲[1] 陈静[1] 曹如波[1] 黄晶[1] 韩军[1] 王涛[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院肿瘤中心,武汉430023

出　　处：《临床耳鼻咽喉头颈外科杂志》2011年第24期1120-1122,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:观察热塑性头颈肩膜开窗技术对喉癌急性放射性皮炎的保护作用。方法:将73例恶性肿瘤患者随机分为开窗组(38例)和对照组(35例)。开窗组将头颈肩膜中放射野相应区域剪去,射野中心使用激光延长线摆位放疗;对照组保留完整头颈肩膜,常规使用激光"十"字投射点摆位放疗。观察并比较两组放射性皮炎的发生率及照射野皮肤的疼痛程度。结果:开窗组放射性皮炎的发生率较对照组明显降低(P<0.05),且开窗组照射野皮肤的疼痛程度也较对照组明显减轻(P<0.05)。结论:热塑性头颈肩膜开窗技术能有效减轻喉癌放疗患者急性放射性皮炎的发生。Objective：To observe the protective effect of thermoplastic mask on radiation dermatitis for patients with laryngeal cancer.Method：Seventy-three patients with laryngeal cancer was recruited in the research and were divided into two group.The test group（38 patients） was treated with opening-window on thermoplastic mask to protect the skin exposure to the radiotherapy.The control group（35 patients） was treated with intact thermoplastic mask.The rate of radio-dermatitis and pain in the skin exposured to the radiotherapy were assessed.Result：The radio-dermatitis and pain of the skin exposured to the radiotherapy in the test group was significantly lower than the control group（P0.05）.Conclusion：The opening-window on thermoplastic mask can decrease the radio-dermatitis for patients with laryngeal cancer.

关 键 词：喉肿瘤 放射治疗 热塑性膜 放射性皮炎 

分 类 号：R739.65[医药卫生—肿瘤]