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[化脓性汗腺炎的放射治疗——如今仍有效吗?]

[Radiotherapy of hidradenitis suppurativa--still valid today?].

作者信息

Fröhlich D, Baaske D, Glatzel M

机构信息

Klinik für Strahlentherapie, Zentralklinikum, Suhl.

出版信息

Strahlenther Onkol. 2000 Jun;176(6):286-9.

PMID:10897256
Abstract

PURPOSE

In a retrospective analysis the efficacy of radiotherapy in the treatment of hidradenitis suppurativa was assessed.

PATIENTS AND METHODS

Data from 231 patients undergoing radiotherapy for hidradenitis suppurativa in the last years in 2 hospitals were analyzed. The patients were treated with an orthovoltage therapy unit with 175 kV, 0.5 mm copper-filtering. The single doses reached from 0.5 Gy to 1.5 Gy up to total doses between 3.0 Gy and 8.0 Gy in one series. In chronic recurrent disease 2 or more series with a total dose of more than 10.0 Gy were given.

RESULTS

Complete relief of symptoms at the end of radiotherapy was achieved in 89 patients (38%). In 92 patients (40%) there was clear improvement of symptoms. Only 2 patients did not react to radiotherapy. No side effects of radiotherapy occurred.

CONCLUSION

Radiotherapy should be given more consideration as a treatment option for hidradenitis suppurativa.

摘要

目的

通过一项回顾性分析评估放射疗法治疗化脓性汗腺炎的疗效。

患者与方法

分析了过去几年中两家医院231例接受化脓性汗腺炎放射治疗患者的数据。患者使用175 kV、0.5 mm铜滤过的深部X线治疗机进行治疗。单次剂量为0.5 Gy至1.5 Gy,一个疗程的总剂量为3.0 Gy至8.0 Gy。对于慢性复发性疾病,给予2个或更多疗程,总剂量超过10.0 Gy。

结果

89例患者(38%)在放疗结束时症状完全缓解。92例患者(40%)症状明显改善。只有2例患者对放疗无反应。未发生放疗副作用。

结论

放射疗法作为化脓性汗腺炎的一种治疗选择应得到更多考虑。

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North American clinical management guidelines for hidradenitis suppurativa: A publication from the United States and Canadian Hidradenitis Suppurativa Foundations: Part I: Diagnosis, evaluation, and the use of complementary and procedural management.北美化脓性汗腺炎临床管理指南:美国和加拿大化脓性汗腺炎基金会的出版物:第一部分:诊断、评估和补充及程序管理的应用。
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