Limarova I V
Med Radiol (Mosk). 1986 Apr;31(4):44-8.
Altogether 67 patients with oral mucosa cancer metastases to the regional lymph nodes were given a split course of gamma-beam therapy with traditional dose fractionation and dynamic fractionation. Radiotherapy in the presence of metronidazole radiosensitization was given to 40 patients. Metronidazole was administered per os 3 = 4 h before irradiation with fractions I, III and V of each phase of a split course. A single dose of metronidazole was 5 g/m2, a summary dose 30 g/m2. Radiotherapy with metronidazole resulted in a 2-year cure of 17.5 +/- 6% of the patients. The therapy was the most effective in patients with metastases of diameter up to 2 cm. The results of therapy of oral mucosa cancer metastases to the regional lymph nodes were better in the use of the dynamic fractionation regimen.
总共67例口腔黏膜癌区域淋巴结转移患者接受了γ射线分割治疗,采用传统剂量分割和动态分割。40例患者在甲硝唑放射增敏的情况下接受放疗。在分割疗程各阶段的第一、三、五次照射前3 - 4小时口服甲硝唑。甲硝唑单次剂量为5g/m²,总剂量为30g/m²。甲硝唑放疗使17.5±6%的患者获得2年治愈。该治疗对直径达2cm的转移灶患者最有效。在使用动态分割方案时,口腔黏膜癌区域淋巴结转移的治疗效果更好。