摘要
目的探讨接受放疗的肺癌及食管癌患者体侧与上举两种体位方式的摆位误差。方法回顾性分析2021年6月至2022年9月金华市人民医院收治的28例肺癌及食管癌患者与2021年6月至2022年7月浙江金华广福肿瘤医院收治的32例肺癌及食管癌患者的临床资料。依据体位不同将患者分为体侧组和上举组,每组30例。记录左右方向(X)、头脚方向(Y)、腹背方向(Z)、矢状面(RX)、横断面(RY)、冠状面(RZ)的旋转误差,比较两组患者的总体摆位误差、实际治疗时的摆位误差、胸锁关节摆位误差、肩锁关节摆位误差及靶区外放范围。结果体侧组RX、RZ方向的摆位误差较上举组小(均P<0.05),而两组患者X、Y、Z、RY方向的摆位误差差异均无统计学意义(均P>0.05);体侧组X、RZ方向的胸锁关节摆位误差较上举组小,实际治疗时体侧组X方向的胸锁关节摆位误差较上举组小(均P<0.05);体侧组Y、Z、RZ方向的肩锁关节摆位误差较上举组小,实际治疗时体侧组Y方向的肩锁关节摆位误差较上举组小(均P<0.05);体侧组在胸锁关节的X、Y方向与肩锁关节的Y、Z方向所需的靶区外放范围较小(P<0.05)。结论接受放疗的肺癌及食管癌患者体侧位较上举位的摆位误差更小,且体侧体位所需的靶区外放范围更小,临床中可根据患者肿瘤的病变部位选择合适的放疗体位。
Objective To compare the positioning errors of lateral posture and arm-uplifted posture in patients with lung cancer and esophageal cancer receiving radiotherapy.Methods The clinical data of 60 patients with lung cancer and esophageal cancer who received radiotherapy from June 2021 to September 2022 in Jinhua People's Hospital and Zhejiang Jinhua Guangfu Cancer Hospital from June 2021 to July 2022 were retrospectively analyzed.According to the positioning posture the patients were divided into lateral side group and arm-uplifted group with 30 cases in each group.The rotational errors in the left-right direction(X),head-foot direction(Y),ventral-dorsal direction(Z),sagittal plane(RX),transverse plane(RY),and coronal plane(RZ)were recorded,and the overall positioning errors,the positioning errors during the actual treatments,the thoracic clavicle joint positioning errors,the acromioclavicular joint positioning errors,and the range of target area externally were compared between the two groups of patients.Results Positioning errors in the RX and RZ directions in the lateral group were less than those in the arm-lifted group(both P<0.05),while the differences in positioning errors in the X,Y,Z,and RY directions between the two groups of patients were not statistically significant(all P>0.05).The sternoclavicular joint positioning errors in the X and RZ directions in the lateral group were less than those in the arm-lifted group,and positioning errors in the X direction in the somatic group were less than those in the lifting group during actual treatment(all P<0.05).The acromioclavicular joint positioning errors in the Y,Z,and RZ directions in the somatic group were less than those in the arm-lifted group during actual treatment(both P<0.05);the acromioclavicular joint posing error in the Y,Z,and RZ directions in the lateral group was less than that in the arm-uplifted group,and the acromioclavicular joint posing error in the Y direction in the lateral group was less than that in the arm-uplifted group during the act
作者
韩殿成
唐罗勇
刘裕
HAN Diancheng;TANG Luoyong;LIU Yu(Department of Radiotherapy,Jinhua People's Hospital,JinHua 321000,China)
出处
《浙江医学》
CAS
2023年第18期1961-1965,共5页
Zhejiang Medical Journal
基金
金华市科技局课题基金项目(2021-3-122)。
关键词
肺癌
食管癌
放疗
体侧
上举
Lung cancer
Esophageal cancer
Radiation
Body side
Lifting
