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[应用概率单位分析评估舌癌及口底癌播散性癌放疗结果]

[Probit analysis in assessing the results of radiation therapy of disseminated cancer of the tongue and floor of the mouth].

作者信息

Vorob'ev Iu I, Limarova I V, Ustinskov V I

出版信息

Med Radiol (Mosk). 1990 Jun;35(6):17-20.

PMID:2355804
Abstract

The results of radiation therapy were compared in 217 patients at advanced stages of cancer of the tongue (131) and fundus of the mouth (86) using split courses of conventional (SCF) and dynamic fractionation (SDF) and SDF combined with metronidazole. Dose-effect curves were evaluated by probit-analysis. SCF at a total focal dose increased from 64-76 up to 78-82 Gy did not improve therapeutic results. The predicted limits of efficacy were higher in SDF as compared to SCF. The most effective was the use of SDF in combination with metronidazole (one year after therapy discontinuation 52% of patients with cancer of the tongue and 36% of patients with cancer of the fundus of the mouth were alive). In a total focal dose increased up to 68-72 Gy a rise of efficacy in T3 was 11% for cancer of the tongue and 18% for cancer of the fundus of the mouth. This method permits the evaluation not only of the predicted limits of efficacy but also of a probable rate of improvement in a raised TFD.

摘要

采用传统分割疗程(SCF)、动态分割(SDF)以及SDF联合甲硝唑的方法,对217例晚期舌癌(131例)和口腔底癌(86例)患者的放射治疗结果进行了比较。通过概率分析评估剂量效应曲线。当总聚焦剂量从64 - 76 Gy增加至78 - 82 Gy时,SCF并未改善治疗效果。与SCF相比,SDF的预测疗效极限更高。最有效的是SDF联合甲硝唑的使用(治疗停止一年后,52%的舌癌患者和36%的口腔底癌患者存活)。当总聚焦剂量增加至68 - 72 Gy时,T3期舌癌的疗效提高了11%,口腔底癌提高了18%。该方法不仅可以评估疗效的预测极限,还能评估提高总聚焦剂量时可能的改善率。

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