Barkanov A I, Goldobenko G V, Shchebetenko Iu E, Waĭnson A A, Ananenkov E F
Med Radiol (Mosk). 1986 Sep;31(9):9-14.
The paper represents a comparative analysis of hypoxiradiotherapy of 202 patients with malignant tumors of different sites. A significant decrease (a 3.5-fold) in the number of severe local radiation reactions was noted in hypoxiradiotherapy of cancer of the esophagus, pancreas and metastases of seminoma to the retroperitoneal lymph nodes. A decrease in the number and intensity of general radiation reactions and the absence of pyo-inflammatory complications after radical operations were noted in preoperative large fractionated hypoxiradiotherapy of colon and lung cancer. The general number of radiation reactions was 12% less in hypoxiradiotherapy. Tumor regression after hypoxiradiotherapy did not slow down. Complete or considerable tumor resorption after irradiation against a background of gaseous hypoxia was noted in 74 +/- 7% of the patients and in 65 +/- 7% after radiotherapy alone. Hypoxiradiotherapy alone or before operation should be widely introduced into clinical practice of cancer dispensaries or radiological departments.
本文对202例不同部位恶性肿瘤患者的低氧放疗进行了对比分析。在食管癌、胰腺癌以及精原细胞瘤腹膜后淋巴结转移灶的低氧放疗中,严重局部放射反应的数量显著减少(减少了3.5倍)。在结肠癌和肺癌的术前大分割低氧放疗中,全身放射反应的数量和强度有所降低,且根治性手术后未出现脓性炎症并发症。低氧放疗中放射反应的总数减少了12%。低氧放疗后肿瘤消退并未减缓。在气态低氧背景下照射后,74±7%的患者出现了肿瘤完全或显著吸收,而单纯放疗后这一比例为65±7%。单纯低氧放疗或术前低氧放疗应广泛应用于癌症防治机构或放射科的临床实践中。