Karakulov R K, Poliakov P Iu, Dar'ialova S L, Kiseleva E S, Pelevina I I
Med Radiol (Mosk). 1983 May;28(5):39-44.
Proceeding from the clinical observation of 11 patients with cancer of the tongue, oral mucosa and stomatopharynx who received gamma-beam therapy according to the scheme of dynamic fractionation combined with metronidazole, it has been concluded that the drug enhances the degree of radiation injury of the above tumors. It is expressed in early time (the 2nd day of treatment) and a low dose level (8 Gy) at which tumor resorption starts and the completeness of gamma-beam therapy in summary doses of 30-60 Gy is revealed (a general index of a clinically complete resorption is 90.8% - 10 out of 11 patients). A simultaneous study of the proliferative activity on the biopsies from the same 11 patients has shown that tumors of the oral cavity contain a considerable amount of nonproliferating cells that reduces in the process of radiotherapy combined with metronidazole. No correlation was found between the initial content of these cells, the degree of its decrease during radiotherapy combined with metronidazole and the completeness of resorption at the end of radiotherapy.
基于11例舌癌、口腔黏膜癌和口咽癌患者按照动态分割方案联合甲硝唑接受伽马射线治疗的临床观察,得出结论:该药物增强了上述肿瘤的放射损伤程度。这在治疗早期(治疗第2天)和低剂量水平(8 Gy)就有所体现,此时肿瘤开始吸收,且在总剂量为30 - 60 Gy的伽马射线治疗中显示出治疗的完整性(临床完全吸收的总体指标为90.8%,即11例患者中有10例)。对同一11例患者活检组织的增殖活性进行同步研究表明,口腔肿瘤含有大量非增殖细胞,在联合甲硝唑的放射治疗过程中这些细胞数量减少。在这些细胞的初始含量、联合甲硝唑放射治疗期间其减少程度与放射治疗结束时的吸收完整性之间未发现相关性。