同步加量调强放疗在头颈部肿瘤可疑阳性淋巴结治疗中的应用  

Application of Concurrent Intensive-modulated Radiotherapy in the Treatment of Suspicious Positive Lymph Nodes in Head and Neck Tumors

作　　者：包博 王智勇[1] BAO Bo;WANG Zhiyong(Department of Radiotherapy,Jilin Provincial Cancer Hospital,Changchun,Jilin Province,130000 China)

机构地区：[1]吉林省肿瘤医院放射治疗科,吉林长春130000

出　　处：《中外医疗》2023年第35期37-40,共4页China & Foreign Medical Treatment

摘　　要：目的探究同步加量调强放疗在头颈部肿瘤可疑阳性淋巴结治疗中的应用。方法方便选取2022年1月—2023年1月吉林省肿瘤医院收治的头颈部肿瘤可疑阳性淋巴结的患者144例为研究对象,随机数表法分为对照组和观察组,各72例,对照组行常规预防照射剂量,观察组行同步加量调强放疗,对比两组治疗效果、生存率及可疑阳性淋巴结最大横截面短径。结果观察组的治疗效果为90.28%,高于对照组的77.78%,差异有统计学意义(χ^(2)=4.191,P<0.05)。两组1年生存率相同;在其余年段观察组生存率均高于对照组,差异有统计学意义(P<0.05)。观察组最大横截面短径低于对照组,差异有统计学意义(P<0.05)。结论同步加量调强放疗对于治疗头颈部肿瘤的可疑阳性淋巴结更具安全性,为患者提供良好的预后效果。Objective To explore the application of concurrent intensive-modulated radiotherapy in the treatment of suspicious positive lymph nodes in head and neck tumors.Methods A total of 144 cases with suspicious positive lymph nodes for head and neck tumors admitted to Jilin Provincial Cancer Hospital from January 2022 to January 2023 were conveniently selected and divided into control group and observation group by random number table method,with 72 cases in each group.The control group received routine prophylactic radiation dose,and the observation group received concurrent intensive-modulated radiotherapy.The treatment effect,survival rate and the maximum cross-sectional diameter of suspected positive lymph nodes were compared between the two groups.Results The therapeutic effect in the observation group was 90.28%,which was higher than 77.78%in the control group,and the difference was statistically significant(χ^(2)=4.191,P<0.05).The 1-year survival rate was the same in both groups.The survival rate of observation group was higher than that of control group in other years,and the difference was statistically significant(P<0.05).The maximum short diameter of cross section in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion Simultaneous dose intensive-modulated radiotherapy has better safety in the treatment of suspicious positive lymph nodes in head and neck tumors,and provides a good prognosis for patients.

关 键 词：同步加量调强放疗 头颈部肿瘤 可疑阳性淋巴结 

分 类 号：R81[医药卫生—放射医学]