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张志南1 韩凤山1 韩正凯1 鹿双岭1 刘玉梅2.陀螺旋转式立体定向放射治疗联合NP 方案治疗局部晚期非小细胞肺癌 的临床疗效观察[J].现代生物医学进展英文版,2012,12(21):4046-4049.
陀螺旋转式立体定向放射治疗联合NP 方案治疗局部晚期非小细胞肺癌 的临床疗效观察
Gyro Rotary Stereotactic Radiotherapy Combined NP Treatment SchemeLocally Advanced Non-small cell lung cancer Clinical Curative Effects
  
DOI:
中文关键词: 局部晚期非小细胞肺癌  陀螺旋转式立体定向放射治疗系统  长春瑞滨  顺铂
英文关键词: Locally advanced non-small cell lung cancer  Gyro rotary stereotactic radiotherapy  Changchun Rachel shore  Cisplatin
基金项目:黑龙江省教育厅科学技术研究项目(11541114)
Author NameAffiliation
ZHANG zhi-nan1, HAN feng-shan1, HAN zheng-kai1, LU shuang-ling1, LIU yu-mei2 中航工业哈尔滨二四二医院 
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中文摘要:
      目的:观察陀螺旋转式立体定向放射治疗系统(陀螺刀)联合长春瑞滨、顺铂(NP)方案治疗局部晚期非小细胞肺癌(NSCLC) 的临床疗效观察及毒副反应。方法:94 例局部晚期NSCLC 患者,先给予陀螺刀治疗,单次治疗剂量3. 2-5. 0 Gy,等剂量曲线50 % -70 %,计划靶体积(PTV)覆盖95 %以上,总剂量35-50 Gy,治疗后进行NP 方案化疗4-6 个周期。与同期144 例单纯陀螺刀治疗局 部晚期NSCLC 患者治疗结果相比较。结果:联合治疗的94 例患者, 近期有效率为86.17 %(81/94), 6、12 和24 个月生存率分别为 86.17 % (81/94)、60.64 % (57/94)和36.17 % (34/94),毒性反应较轻。同期单纯陀螺刀治疗患者,近期有效率为88.19 %(127/144), 6、 12 和24 个月生存率分别为87.50 % (126/144)、44.44 % (64/144)和23. 68 % (33/144)。结论:陀螺刀联合NP 方案是一种对局部晚 期NSCLC 比较有效的治疗方法,毒副反应较轻。
英文摘要:
      Objective:Observe gyro rotarystereotactic radiotherapy(gamma-SRT) joint changchunRachel sedimentation and cisplatin (NP) treatment scheme locally advanced non-small cell lung cancer (NSCLC) the clinical curative effect of the observation and adverse reaction. Methods: 94 cases of patients with locally advanced NSCLC, first give gamma-irradiation SRT treatment, a single treatment dose 3. 2 - 5. 0 Gy, etc dose curve 50%-70%, and plans to target volume (PTV) covers more than 95%, total doses 35 to 50 Gy, treatment after 4-6 cycles of chemotherapy NP scheme. Compared with the 144 cases of pure gamma-irradiation SRT treatment for patients with locally advanced NSCLC compared treatment results. Result: Combination therapy of 94 patients, recent effective rate was 86.17% (81/94), 6, 12 and 24 months survival rates were 86.17% (81/94), 60.64% (57/94) and 36.17% (34/94), toxic reaction is lighter. Only the same period gamma-irradiation SRT treat the patient, recent effective rate was 88.19% (127/144), 6, 12 and 24 months survival rates were 87.50% (126/144), 44.44% (64/144) and 23. 68% (33/144). Conclusion: Gamma-irradiation SRT joint NP scheme is a local advanced-stage NSCLC does more effective treatments, adverse reaction is lighter.
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