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机构地区:[1]哈尔滨医科大学附属肿瘤医院放疗四科,哈尔滨150081
出 处:《实用肿瘤学杂志》2016年第2期189-192,共4页Practical Oncology Journal
摘 要:乳腺癌放疗后患者长期受到心脏损伤的影响,心脏损伤涉及很多结构,包括冠状动脉、心肌、传导系统、心包及瓣膜等。这些损伤增加了放射相关性心脏病的风险,从而影响患者的远期生存率和生活质量。随着现代放射治疗技术、物理学及其他各项技术的发展,乳腺癌患者放射治疗后发生心脏损_J伤的几率明显降低。本文针对降低乳癌患者放疗心脏损伤的各项技术及治疗措施(包括乳腺托架定位及俯卧位放疗、3DCRT及IMRT放射治疗、呼吸门控技术、大分割放疗、加速部分乳腺放疗及质子治疗等)做一综述。Long term cardiac effects are an important component of survivorship after breast radiothera- py. Cardiac injury has been described involving essentially almost all structures of the heart, including the coro- nary arteries,myocardium,conduction systems, pericardium and valves. These injuries have increased the risk of heart disease,which affects the long term survival and quality of life. With the development of modern radiation therapy technology, physics and other technologies, the incidence of cardiac injury in the patients with breast canc- er after radiotherapy has been significantly reduced. The paper is a review of the techniques and treatment meas- ures ( including breast board, prone positioning, 3 DCRT, IMRT, DIBH, Hypofractionation radiotherapy, APBI and protons radiotherapy)for reducing cardiac injury in the patients with breast cancer undergoing radiotherapy.
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