鼻咽癌常规放疗与调强放疗远期并发症及疗效的对比分析  

Comparative Analysis of Long-term Complications and Curative Effect of Conventional Radiotherapy and Intensity Modulated Radiotherapy for Nasopharyngeal Carcinoma

作　　者：国志勇 

机构地区：[1]长春市第二医院伽马刀中心,吉林长春130062

出　　处：《中国继续医学教育》2017年第27期79-80,共2页China Continuing Medical Education

摘　　要：目的对比分析鼻咽癌常规放疗和放射治疗远期并发症和治疗效果。方法抽取我院100例鼻咽癌患者为研究对象。将其随机分为对照组和观察组。对照组采用常规治疗,观察组实施调强放疗,比较两组患者治疗后远期并发症和生存情况。结果观察组口干、颈部纤维化和放射性脑病发生概率低于对照组,两组4～6年后生存率相比,差异具有统计学意义(P<0.05);两组患者1～3年生存率比较,差异均无统计学意义(P>0.05)。结论调强放疗法治疗鼻咽癌,远期生存率高,并发症概率低,效果明显。Objective To compare conventional radiotherapy in nasopharyngeal carcinoma radiotherapy and the long-term complications and treatment. Methods 100 patients with nasopharyngeal carcinoma in our hospital were selected as the research objects. They were randomly divided into the control group and the observation group. The control group received conventional treatment, and the observation group received intensity modulated radiation therapy. The long-term complications and survival of the two groups were compared. Results The incidence of dry mouth, neck fibrosis and radiation encephalopathy in the observation group was lower than that in the control group, and the survival rate of the two groups after 4～6 years was significantly different（P 〈 0.05）; There was no significant difference in 1～3 years survival rate between the two groups（P〉 0.05）. Conclusion Intensity modulated radiotherapy has a high long-term survival rate, low complication probability and obvious effect in the treatment of nasopharyngeal carcinoma.

关 键 词：鼻咽癌 常规放疗 调强放疗 并发症 

分 类 号：R739[医药卫生—肿瘤]