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口干症发生过程中初始唾液流速与辐射剂量之间的相关性。

Correlation between initial salivary flow rate and radiation dose in the production of xerostomia.

作者信息

Mira J G, Fullerton G D, Wescott W B

出版信息

Acta Radiol Oncol. 1982;21(3):151-4. doi: 10.3109/02841868209133999.

DOI:10.3109/02841868209133999
PMID:6293255
Abstract

Dose and initial flow rate are two of several factors that influence the outcome of xerostomia when irradiating head and neck tumors. These two parameters were analysed in 11 irradiated patients where most salivary glands were in the radiation field. Unstimulated whole saliva samples were collected before, during and after the irradiation. The results indicate a statistically significant linear correlation between initial saliva flow rate and the accumulated dose causing irreversible xerostomia. This phenomenon is explained. A diagram is made that could be used (in head and neck tumors where one side could be spared) as a indicator of the maximum dose the salivary glands in the contralateral non-involved side can receive before reaching irreversible dryness.

摘要

剂量和初始流速是影响头颈部肿瘤放疗时口干症结果的几个因素中的两个。在11例接受放疗的患者中分析了这两个参数,这些患者的大多数唾液腺都在辐射野内。在放疗前、放疗期间和放疗后收集未刺激的全唾液样本。结果表明,初始唾液流速与导致不可逆口干症的累积剂量之间存在统计学上显著的线性相关性。对此现象进行了解释。绘制了一张图表,可用于(在一侧可免受照射的头颈部肿瘤中)作为对侧未受累侧唾液腺在达到不可逆干燥之前所能接受的最大剂量的指标。

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引用本文的文献

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Xerostomia after Radiotherapy for Oral and Oropharyngeal Cancer: Increasing Salivary Flow with Tasteless Sugar-free Chewing Gum.口腔和口咽癌放疗后的口干症:使用无糖无味口香糖增加唾液分泌量
Front Oncol. 2016 May 3;6:111. doi: 10.3389/fonc.2016.00111. eCollection 2016.
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Diagnosis and treatment of xerostomia (dry mouth).口干症的诊断与治疗
Odontology. 2009 Jul;97(2):76-83. doi: 10.1007/s10266-008-0099-7. Epub 2009 Jul 29.
3
Increase in mast cells and hyaluronic acid correlates to radiation-induced damage and loss of serous acinar cells in salivary glands: the parotid and submandibular glands differ in radiation sensitivity.
肥大细胞和透明质酸的增加与辐射诱导的唾液腺浆液性腺泡细胞损伤和丧失相关:腮腺和下颌下腺在辐射敏感性方面存在差异。
Br J Cancer. 1994 Feb;69(2):320-6. doi: 10.1038/bjc.1994.58.
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