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[低剂量率腔内后装放射治疗子宫颈癌]

[Low-dose rate intracavitary afterloading radiotherapy for cancer of uterine cervix].

作者信息

Zhang Xin, Wang Yixun, Wang Huiming

机构信息

Department of Gynecology, Liaoning Provincial Tumor Hospital, Shenyang 110042, China.

出版信息

Zhonghua Zhong Liu Za Zhi. 2002 May;24(3):294-6.

PMID:12515631
Abstract

OBJECTIVE

To evaluate the results of Gynatron low dose rate (LDR) brachytherapy for cancer of uterine cervix.

METHODS

From April 1980 to June 1986, 136 patients with uterine cervical carcinoma were given radical radiotherapy through LDR afterloading irradiation and (60)Co external irradiation, compared with those through radium and high dose rate (HDR) intracavitary therapy.

RESULTS

All patients except 5 were followed up for 15 years with a follow-up rate of 96.3% (131/136). The overall 10-year survival rate was 63.5%. The 10-year survival rates of stage II and III patients were 83.9% and 43.2%. The frequency of proctitis and cystitis were 12.5% (17/136) and 9.6% (13/136).

CONCLUSION

Gynatron LDR system has achieved good results with tolerable complications including proctitis and cystitis which are more often than those of radium and less so than those of HDR.

摘要

目的

评估Gynatron低剂量率(LDR)近距离放射治疗子宫颈癌的效果。

方法

1980年4月至1986年6月,136例子宫颈癌患者接受了LDR后装照射联合(60)Co外照射的根治性放疗,并与镭疗和高剂量率(HDR)腔内治疗的患者进行比较。

结果

除5例患者外,其余患者均随访15年,随访率为96.3%(131/136)。10年总生存率为63.5%。Ⅱ期和Ⅲ期患者的10年生存率分别为83.9%和43.2%。直肠炎和膀胱炎的发生率分别为12.5%(17/136)和9.6%(13/136)。

结论

Gynatron LDR系统取得了良好的效果,并发症(包括直肠炎和膀胱炎)可耐受,其发生率高于镭疗,低于HDR。

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1
[Low-dose rate intracavitary afterloading radiotherapy for cancer of uterine cervix].[低剂量率腔内后装放射治疗子宫颈癌]
Zhonghua Zhong Liu Za Zhi. 2002 May;24(3):294-6.
2
Low-dose-rate vs. high-dose-rate intracavitary brachytherapy for carcinoma of the cervix: The University of Alabama at Birmingham (UAB) experience.低剂量率与高剂量率腔内近距离放射治疗宫颈癌:阿拉巴马大学伯明翰分校(UAB)的经验
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Phase III randomized trial comparing LDR and HDR brachytherapy in treatment of cervical carcinoma.比较低剂量率(LDR)和高剂量率(HDR)近距离放射疗法治疗宫颈癌的III期随机试验。
Int J Radiat Oncol Biol Phys. 2004 Aug 1;59(5):1424-31. doi: 10.1016/j.ijrobp.2004.01.034.
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Radical radiation therapy for adenocarcinoma of the uterine cervix.子宫颈腺癌的根治性放射治疗。
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Comparison of low and high dose rate brachytherapy in the treatment of uterine cervix cancer. Retrospective analysis of two sequential series.低剂量率与高剂量率近距离放射治疗子宫颈癌的比较。两个连续系列的回顾性分析。
Int J Radiat Oncol Biol Phys. 2005 Jul 15;62(4):1108-16. doi: 10.1016/j.ijrobp.2004.12.016.
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High-dose versus low-dose rate brachytherapy in definitive radiotherapy of cervical cancer.高剂量率与低剂量率近距离放疗在宫颈癌根治性放疗中的应用
Wien Klin Wochenschr. 2001 Jan 15;113(1-2):58-62.
7
High external parametrial dose can increase the probability of radiation proctitis in patients with uterine cervix cancer.子宫颈癌患者盆腔外参数剂量过高会增加放射性直肠炎的发生概率。
Gynecol Oncol. 2000 Dec;79(3):406-10. doi: 10.1006/gyno.2000.5997.
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Long term follow-up results of high-dose rate remote afterloading intracavitary radiation therapy for carcinoma of the uterine cervix.高剂量率后装腔内放射治疗子宫颈癌的长期随访结果
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Prospective study of HDR (192Ir) versus MDR (137Cs) intracavitary brachytherapy for carcinoma of the uterine cervix.高剂量率(192铱)与中剂量率(137铯)腔内近距离放射治疗子宫颈癌的前瞻性研究。
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[Combination of subradical external radiation and brachytherapy plus radical operation in the treatment of carcinoma of uterine cervix].
Zhonghua Zhong Liu Za Zhi. 2002 May;24(3):291-3.