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Favourable impact of intensity-modulated radiation therapy on chronic dysphagia in patients with head and neck cancer.调强放射治疗对头颈癌患者慢性吞咽困难的有利影响。
Br J Radiol. 2008 Nov;81(971):865-71. doi: 10.1259/bjr/31334499.
2
Pattern analysis of acute mucosal reactions in patients with head and neck cancer treated with conventional and accelerated irradiation.头颈部癌患者接受常规和加速放疗后急性黏膜反应的模式分析
Int J Radiat Oncol Biol Phys. 2009 Feb 1;73(2):384-90. doi: 10.1016/j.ijrobp.2007.12.057. Epub 2008 Apr 18.
3
Swallowing outcomes after radiotherapy for laryngeal carcinoma.喉癌放疗后的吞咽结果。
Arch Otolaryngol Head Neck Surg. 2008 Feb;134(2):178-83. doi: 10.1001/archoto.2007.33.
4
Dysphagia after chemoradiation: analysis by modified barium swallow.放化疗后吞咽困难:改良吞钡检查分析
Ann Otol Rhinol Laryngol. 2007 Nov;116(11):837-41. doi: 10.1177/000348940711601108.
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Reduced incidence and severity of acute radiation mucositis by WF10 (IMMUNOKINE) as adjunct to standard of cure in the management of head & neck cancer patients.在头颈部癌症患者的治疗中,WF10(免疫因子)作为标准治疗的辅助手段,可降低急性放射性粘膜炎的发生率和严重程度。
J Med Assoc Thai. 2007 Aug;90(8):1590-600.
6
Effects of treatment intensification on acute local toxicity during radiotherapy for head and neck cancer: prospective observational study validating CTCAE, version 3.0, scoring system.治疗强化对头颈部癌放疗期间急性局部毒性的影响:验证CTCAE 3.0版评分系统的前瞻性观察研究
Int J Radiat Oncol Biol Phys. 2008 Feb 1;70(2):330-7. doi: 10.1016/j.ijrobp.2007.06.022. Epub 2007 Sep 19.
7
Evaluation of some oral postradiotherapy sequelae in patients treated for head and neck tumors.头颈部肿瘤患者口腔放疗后某些后遗症的评估
Braz Oral Res. 2007 Jul-Sep;21(3):272-7. doi: 10.1590/s1806-83242007000300014.
8
A phase I study of dose-escalated chemoradiation with accelerated intensity modulated radiotherapy in locally advanced head and neck cancer.一项针对局部晚期头颈癌患者,采用剂量递增式放化疗联合加速调强放疗的I期研究。
Radiother Oncol. 2007 Oct;85(1):36-41. doi: 10.1016/j.radonc.2007.07.011. Epub 2007 Aug 20.
9
Late swallowing dysfunction and dysphagia after radiotherapy for pharynx cancer: frequency, intensity and correlation with dose and volume parameters.下咽癌放疗后的晚期吞咽功能障碍和吞咽困难:发生率、严重程度及其与剂量和体积参数的相关性
Radiother Oncol. 2007 Oct;85(1):74-82. doi: 10.1016/j.radonc.2007.06.004. Epub 2007 Jul 27.
10
High-dose cisplatin concurrent to conventionally delivered radiotherapy is associated with unacceptable toxicity in unresectable, non-metastatic stage IV head and neck squamous cell carcinoma.在不可切除的非转移性IV期头颈部鳞状细胞癌中,高剂量顺铂与传统放疗同时使用会导致不可接受的毒性。
Eur Arch Otorhinolaryngol. 2007 Dec;264(12):1475-82. doi: 10.1007/s00405-007-0395-9. Epub 2007 Jul 21.

头颈部癌症治疗后 1 年内口腔摄入与黏膜改变的关系。

Relation of mucous membrane alterations to oral intake during the first year after treatment for head and neck cancer.

机构信息

Communication Sciences and Disorders, Northwestern University, Evanston, Illinois, USA.

出版信息

Head Neck. 2011 Jun;33(6):774-9. doi: 10.1002/hed.21542. Epub 2010 Aug 24.

DOI:10.1002/hed.21542
PMID:20737496
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4061735/
Abstract

BACKGROUND

Acute oral mucositis is associated with pain and impaired swallowing. Little information is available on the effects of chronic mucositis on swallowing.

METHODS

Sixty patients treated for cancer of the head and neck were examined during the first year after their cancer treatment. Oral mucosa was rated with the Oral Mucositis Assessment Scale. Stimulated whole-mouth saliva, oral pain rating, percent of oral intake, and 2 subscales of the Performance Status Scale for Head and Neck (PSS-HN) cancer were also collected.

RESULTS

Mucositis scores and pain ratings decreased over time while functional measures of eating improved over time. Reduction in chronic mucositis was correlated with improved oral intake and diet.

CONCLUSION

Lack of association with pain was attributed to the absence of ulcerations. Continued impairment of oral intake during the first year posttreatment may be related to oral mucosal changes and other factors.

摘要

背景

急性口腔黏膜炎会引起疼痛和吞咽困难。关于慢性口腔黏膜炎对吞咽的影响,目前相关信息有限。

方法

在癌症治疗后的第一年,对 60 名头颈部癌症患者进行了检查。采用口腔黏膜炎评估量表评估口腔黏膜状况,同时采集唾液全口刺激量、口腔疼痛评分、口腔摄入百分比以及头颈部癌症患者生存状况评分量表(PSS-HN)的 2 个子量表。

结果

黏膜炎评分和疼痛评分随时间逐渐降低,而进食功能的衡量指标则随时间逐渐改善。慢性黏膜炎的减轻与口腔摄入和饮食的改善相关。

结论

与疼痛无关联的原因是不存在溃疡。治疗后第一年持续的口腔摄入受损可能与口腔黏膜变化和其他因素有关。