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丹麦放射治疗100年的发展。从放射学到肿瘤学。

The development of radiotherapy in Denmark during 100 years. From radiology to oncology.

作者信息

Sell A

机构信息

Radium Centre in Aarhus, Denmark.

出版信息

Acta Oncol. 1995;34(8):1005-10. doi: 10.3109/02841869509127226.

DOI:10.3109/02841869509127226
PMID:8608024
Abstract

The evolution of radiotherapy in Denmark is traced from its early inception in 1896 to the first three radium centres in 1913-1914, the establishment of which caused a roar of protests among the surgeons of that time. Private initiative pioneered the Radium Foundation which raised money for radium and financed erection of new buildings for the three centres in the 1930's. Radiotherapy became a separate speciality in 1950. The early 1960s saw the introduction of megavoltage therapy and the first promising results from chemotherapeutic management of solid tumors. The consequent referral of patients to centres for non-surgical therapy created a need for two new centres (Aalborg and Herlev) and called for a gradual closing down of decentralized low-voltage treatment at county level. However, the decentralization of health care in 1970 partly reversed this trend and some patients were therefore referred for decentralized treatment at major county hospitals. Such treatment mainly consisted of adjuvant or palliative chemotherapy, though in a few countries palliative therapy was supported by low-voltage therapy. In 1987 the medical speciality of radiotherapy was officially renamed oncology.

摘要

丹麦放射治疗的发展历程可追溯至1896年的早期开端,直至1913 - 1914年的首批三个镭中心的建立,而这些中心的设立在当时的外科医生中引发了一阵抗议声浪。私人倡议开创了镭基金会,该基金会为镭筹集资金,并在20世纪30年代资助了这三个中心新建筑的建造。放射治疗在1950年成为一门独立的专科。20世纪60年代初引入了兆伏级治疗,并且在实体瘤的化疗管理方面取得了首批令人鼓舞的成果。随之而来的是患者被转诊至非手术治疗中心,这就需要两个新的中心(奥尔堡和赫勒夫),并要求逐步关闭县级分散的低电压治疗。然而,1970年医疗保健的去中心化在一定程度上扭转了这一趋势,因此一些患者被转诊至主要县级医院进行分散治疗。这种治疗主要包括辅助化疗或姑息化疗,不过在少数地区,姑息治疗得到了低电压治疗的支持。1987年,放射治疗这一医学专科正式更名为肿瘤学。

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