摘要
目的分析乳腺癌根治术后胸壁放疗中应用等效均匀剂量优化的价值。方法将2021年12月至2022年12月在吉林省肿瘤医院接受乳腺癌根治术治疗的86例乳腺癌患者以奇偶数法分为两组,每组各43例。对比组接受常规放疗,研究组接受等效均匀剂量调强放疗,比较两组放疗效果。结果研究组放疗总有效率高于对比组,但差异无统计学意义(P>0.05)。研究组射血分数水平较对比组高,左心室收缩末期内径、左心室舒张末期内径、患侧肺部V105、V110以及心脏指数V30、V40、V50受照剂量较对比组低,差异有统计学意义(P<0.05)。结论乳腺癌根治术后胸壁放疗中应用等效均匀剂量对于肺部及心脏功能的影响较小,可减少心肺损伤。
Objective To analyze the value of equivalent uniform dose optimization in chest wall radiotherapy after radical mastectomy.Methods A total of 86 cases of breast cancer patients treated by radical mastectomy in Jilin Cancer Hospital from December 2021 to December 2022 were divided into two groups by the odd-even method,with 43 cases in each group.The control group received conventional radiotherapy and the study group received intensitymodulated radiation therapy with equivalent uniform dose to compare the radiotherapy effects of the two groups.Results The total effective rate of radiotherapy in the study group was higher than that in the control group,but the difference was not statistically significant(P>0.05).The ejection fraction in the study group was higher than that in the control group,while left ventricular end-systolic diameter,left ventricular end-diastolic diameter,and the dose in V105,V110 of the affected lung and V30,V40,V50 in the heart index were lower than those in the control group,with statistically significant differences(P<0.05).Conclusion The equivalent uniform dose of chest wall radiotherapy after radical mastectomy has little effect on lung and heart function and can reduce cardiopulmonary injury.
作者
金海国
徐德权
任红涛
李忠琨
张淼
JIN Haiguo;XU Dequan;REN Hongtao;LI Zhongkun;ZHANG Miao(Department of Oncology Radiotherapy,Guowen(Changchun)International Hospital,Jilin Province,Changchun 130000,China;Department of Oncology,Jilin Cancer Hospital,Jilin Province,Changchun 130000,China)
出处
《妇儿健康导刊》
2023年第14期99-101,128,共4页
JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE
关键词
乳腺癌根治术
胸壁放疗
等效均匀剂量
优化价值
Radical mastectomy
Chest wall radiotherapy
Equivalent uniform dose
Optimization value
