Beĭbutov Sh M, Kazhlaeva U I, Samsonova Z A
Vopr Onkol. 1977;23(2):107-11.
The authors estimated comparatively in 200 clinical patients the results of external irradiation of cervical cancer using two variants of gammatherapy: standard, 4--5 fields irradiation and improved one from 2 central contralateral fields in combination with a splitting lead block. The use of the improved variant of distance gammatherapy, compared with the standard one enabled the authors: 1) to reduce irradiation load on the minor pelvis organs and pelvic bones as much as 2--25 times; 2) to gain more even distribution of radiation on the lesion focus; 3) to reduce irradiation load on the organism, as a whole, in adequate focal dosage at point A and B, thus lessening radiation complications; 4) to simplify considerably centring and to shorten the exposure procedure that contributes to better efficiency of a gammatherapy machine; 5) to increase the effectiveness of combined radiotherapy for cancer of the uterine neck.
作者对200例临床患者使用两种伽马治疗方案比较评估了宫颈癌体外照射的结果:标准的4 - 5野照射和改进方案,即从2个中央对侧野联合一个分割铅挡块。与标准方案相比,使用改进的远距离伽马治疗方案使作者能够:1)将对小骨盆器官和骨盆骨骼的照射负荷降低多达2 - 25倍;2)使病变部位的辐射分布更均匀;3)在A点和B点以适当的局部剂量降低机体整体的照射负荷,从而减少放射并发症;4)显著简化定位并缩短照射程序,提高伽马治疗机的效率;5)提高子宫颈癌联合放疗的效果。