深吸气屏气在乳腺癌放射治疗中应用的研究进展  

Research progress of deep inspiration breath-hold in radiotherapy of breast cancer

作　　者：王颖熠 邓小玉 党倩倩 梁天嵩 郑颖娟 杨道科[1,2] WANG Yingyi;DENG Xiaoyu;DANG Qianqian;LIANG Tiansong;ZHENG Yingjuan;YANG Daoke(Radiotherapy Department,the First Affiliated Hospital of Zhengzhou University,Henan Zhengzhou 450000,China;Institute of Radiation Therapy and Oncology Emergency Critical Care,Zhengzhou University,Henan Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院放疗科,河南郑州450000 [2]郑州大学放疗与肿瘤急危重症研究所,河南郑州450000

出　　处：《现代肿瘤医学》2024年第7期1356-1360,共5页Journal of Modern Oncology

基　　金：河南省医学科技攻关计划省部共建项目(编号:SB201901037)。

摘　　要：放射治疗是乳腺癌综合治疗的重要环节,但其心肺剂量则易导致放射性心脏病等并发症的发生。因此,如何减少心脏剂量、降低放疗并发症成为乳腺癌精准放疗的研究重点。深吸气屏气是一类呼吸控制方法,其应用于放疗可减少心肺等危及器官的受照剂量,以期减少放射性心脏损伤、改善患者远期预后。本文旨在概述乳腺癌放疗引起的心脏毒性及保护方法,深吸气屏气技术的剂量优势及应用,为临床和科研工作提供思路及方向。Radiotherapy is an important part of comprehensive treatment of breast cancer,but its cardiopulmonary dose can easily lead to complications such as radiation heart disease.Therefore,how to reduce the cardiac dose and the complications of radiotherapy has become the research focus of precision radiotherapy for breast cancer.Deep inspiration breath-hold is a type of breathing control method,which can be used in radiotherapy to reduce the exposure dose to the heart and lungs and other organs at risk,in order to reduce radiation-induced heart damage and improve the long-term prognosis of patients.This article aims to outline the cardiotoxicity caused by breast cancer radiotherapy and its protection methods,and the dose advantages and applications of deep inspiration breath-hold technique to provide ideas and directions for clinical and scientific research.

关 键 词：乳腺癌 深吸气屏气 放射治疗 呼吸控制 

分 类 号：R737.9[医药卫生—肿瘤]