头颈肩发泡胶在颈胸上段食管癌放疗体位固定中的应用价值分析  

Analysis of application value of head-neck-shoulder foam in position fixation of radiotherapy for cervical and thoracic upper esophageal cancer

作　　者：张惠英 沈燕丽 谢剑君 ZHANG Hui-ying;SHEN Yan-li;XIE Jian-jun(Department of Radiotherapy,Zhangzhou Hospital Affiliated to Fujian Medical University,Zhangzhou 363000,China)

机构地区：[1]福建医科大学附属漳州市医院放疗科,363000

出　　处：《中国现代药物应用》2024年第21期42-45,共4页Chinese Journal of Modern Drug Application

摘　　要：目的探讨头颈肩发泡胶在颈胸上段食管癌放疗体位固定中的应用价值。方法62例颈胸上段食管癌患者作为研究对象,根据体位固定方式的不同将患者分为发泡胶组(31例)和头颈肩罩组(31例)。两组患者均进行调强放疗(IMRT)治疗,头颈肩罩组放疗时采用常规透明塑料枕和头颈肩罩固定,发泡胶组采用头颈肩发泡胶联合头颈肩罩固定。比较两组患者的摆位误差、应用效果。结果与头颈肩罩组[(1.83±1.47)、(1.39±0.98)mm]比较,发泡胶组X轴及Z轴的摆位误差[(0.63±0.59)、(0.23±0.46)mm]更小,有统计学意义(P<0.05);两组Y轴的摆位误差比较无统计学意义(P>0.05)。与头颈肩罩组(67.74%、58.06%、58.06%)比较,发泡胶组重复性、适形性、舒适度(96.77%、93.55%、96.77%)均升高,有统计学意义(P<0.05)。结论头颈肩发泡胶在颈胸上段食管癌放疗体位固定中应用可减少X轴、Z轴的摆位误差,使肩部获得支撑,因此发泡胶联合头颈肩罩固定方法值得在颈胸上段食管癌放疗中进一步推荐应用。Objective To explore the application value of head-neck-shoulder foam in position fixation of radiotherapy for cervical and thoracic upper esophageal cancer.Methods 62 patients with cervical and thoracic upper esophageal cancer as research subjects were divided into foam group(31 cases)and head-neck-shoulder mask group(31 cases)according to different postural fixation methods.Both groups were treated with intensity-modulated radiation therapy(IMRT).The head-neck-shoulder mask group was fixed with conventional transparent plastic pillow and head-neck-shoulder mask during radiotherapy,while the foam group was given head-neck-shoulder foam and head-neck-shoulder mask.The positioning error and treatment effect of the two groups were compared.Results Compared with the head-neck-shoulder mask group[(1.83±1.47),(1.39±0.98)mm],the positioning errors in the X-axis and Z-axis in the foam group[(0.63±0.59),(0.23±0.46)mm]were smaller,and there was statistical significance(P<0.05).There was statistically significant difference in positioning errors in the Y axis between the two groups(P>0.05).Compared with the head-neck-shoulder mask group(96.77%,93.55%,96.77%),the repeatability,fitness and comfort in the experimental group(67.74%,58.06%,and 58.06%)were increased,and there was statistical significance(P<0.05).Conclusion The head-neck-shoulder foam can change the positioning error of X-axis and Z-axis in the position fixation of radiotherapy for cervical and thoracic upper esophageal cancer,so that the shoulder can be supported.Therefore,the fixation method of foams combined with head-neck-shoulder mask in radiotherapy for cervical and thoracic upper esophageal cancer is worthy of further recommendation.

关 键 词：头颈肩发泡胶 颈胸上段食管癌 放疗体位固定 摆位误差测量 

分 类 号：R735.1[医药卫生—肿瘤]