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子宫膀胱阴道间置术后应用可弯曲施源器进行宫颈癌腔内放疗

[The intracavity radiotherapy of cervical carcinoma with flexible applicators following the vesicovaginal interposition of the uterus].

作者信息

Busch M, Burmester U, Matthaei D, Meden H, Dühmke E, Kuhn K

机构信息

Klinik und Poliklinik für Strahlentherapie, Universität Göttingen.

出版信息

Strahlenther Onkol. 1991 Sep;167(9):514-8.

PMID:1925934
Abstract

Advantages of new flexible intracervical applicators treating cervical cancer with high dose rate afterloading brachytherapy are reported: The insertion of the flexible applicator is usually possible without anesthesia and dilation of the cervix. Therefore the treatment can be performed on an outpatient basis. The risks of perforation and infection are minimal. Dosimetry and documentation of the applicator geometry are possible, if the planning system allows the definition of individual curves of an individual applicator. We now prefer flexible applicators instead of rigid steel applicators treating cervix carcinoma.

摘要

据报道,新型可弯曲宫颈施源器在高剂量率后装近距离放射治疗宫颈癌方面具有优势:通常无需麻醉和宫颈扩张即可插入可弯曲施源器。因此,治疗可在门诊进行。穿孔和感染风险极小。如果计划系统允许定义单个施源器的个体曲线,则可以进行施源器几何形状的剂量测定和记录。我们现在更倾向于使用可弯曲施源器而非刚性钢质施源器来治疗宫颈癌。

相似文献

1
[The intracavity radiotherapy of cervical carcinoma with flexible applicators following the vesicovaginal interposition of the uterus].子宫膀胱阴道间置术后应用可弯曲施源器进行宫颈癌腔内放疗
Strahlenther Onkol. 1991 Sep;167(9):514-8.
2
Comparison of measurements of the uterus and cervix obtained by magnetic resonance and transabdominal ultrasound imaging to identify the brachytherapy target in patients with cervix cancer.比较磁共振和经腹超声成像测量子宫和宫颈,以确定宫颈癌患者近距离放射治疗的靶区。
Int J Radiat Oncol Biol Phys. 2014 Mar 15;88(4):860-5. doi: 10.1016/j.ijrobp.2013.12.004. Epub 2014 Jan 22.
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A dosimetric comparison between applicators used for brachytherapy in carcinoma cervix - A single-institute prospective study.子宫颈癌近距离治疗所用施源器的剂量学比较——一项单机构前瞻性研究。
Indian J Cancer. 2018 Jul-Sep;55(3):230-232. doi: 10.4103/ijc.IJC_659_17.
4
Geometry adopted by Manchester radium applicators and Selectron afterloading applicators in intracavitary treatment for carcinoma cervix uteri.曼彻斯特镭敷贴器和施源器后装敷贴器在子宫颈癌腔内治疗中采用的几何形状。
Br J Radiol. 1987 May;60(713):481-5. doi: 10.1259/0007-1285-60-713-481.
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[The value of NMR tomography in the planning of HDR-afterloading brachytherapy in cervical carcinomas. The experiences with 41 patients].[核磁共振断层扫描在宫颈癌高剂量率后装近距离放疗计划中的价值。41例患者的经验]
Rofo. 1991 Aug;155(2):109-16. doi: 10.1055/s-2008-1033230.
6
Should uterine tandem applicators ever be placed without ultrasound guidance? No: a brief report and review of the literature.子宫 tandem 施源器是否应在没有超声引导的情况下放置?不:简要报告和文献复习。
Int J Gynecol Cancer. 2011 Jul;21(5):941-4. doi: 10.1097/IGC.0b013e31821bca53.
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Impact of "optimized" treatment planning for tandem and ring, and tandem and ovoids, using high dose rate brachytherapy for cervical cancer.使用高剂量率近距离放射疗法对宫颈癌进行串联和环形、串联和卵圆形“优化”治疗计划的影响。
Int J Radiat Oncol Biol Phys. 1995 Jan 1;31(1):79-86. doi: 10.1016/0360-3016(94)00401-6.
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Optimization of high-dose-rate cervix brachytherapy applicator placement: the benefits of intraoperative ultrasound guidance.高剂量率宫颈近距离放射治疗施源器放置的优化:术中超声引导的益处
Brachytherapy. 2008 Jul-Sep;7(3):248-53. doi: 10.1016/j.brachy.2008.03.004.
9
Problems in reporting doses and volumes during multiple high-dose-rate intracavitary brachytherapy for carcinoma cervix as per ICRU Report 38: a comparative study using flexible and rigid applicators.根据国际辐射单位与测量委员会(ICRU)第38号报告,宫颈癌高剂量率腔内近距离放疗多次治疗期间剂量与容积报告中的问题:一项使用柔性与刚性施源器的对比研究
Gynecol Oncol. 2003 Nov;91(2):285-92. doi: 10.1016/s0090-8258(03)00506-7.
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A novel technique with a flexible applicator for MRI-based brachytherapy of cervical cancer.一种用于宫颈癌磁共振成像引导近距离放射治疗的带有柔性施源器的新技术。
Eur J Gynaecol Oncol. 2004;25(3):347-50.