CAJ | 학술논문

目的：探讨ⅢA期以上原发灶≥2cm的肺癌患者放射治疗中的放射性肺炎的对比预防。方法采用常规放疗与三维适形放疗及联合放疗技术对我院放射治疗中心2011年7月至2013年6月收治的389例ⅢA期以上原发灶≥2c m的肺癌患者出现放射性肺炎的对比分析。结果放疗后3个月随访，联合放疗组总有效率达85.6%，与常规放疗及三维适形放疗相比具有显著差异（p＜0.01），且联合放疗组放射性肺炎的发生明显减少（p＜0.05）。结论联合放疗技术可以有效地控制放射性肺炎的发生。
목적：탐토ⅢA기이상원발조≥2cm적폐암환자방사치료중적방사성폐염적대비예방。방법채용상규방료여삼유괄형방료급연합방료기술대아원방사치료중심2011년7월지2013년6월수치적389례ⅢA기이상원발조≥2c m적폐암환자출현방사성폐염적대비분석。결과방료후3개월수방，연합방료조총유효솔체85.6%，여상규방료급삼유괄형방료상비구유현저차이（p＜0.01），차연합방료조방사성폐염적발생명현감소（p＜0.05）。결론연합방료기술가이유효지공제방사성폐염적발생。
Aims: To evaluate the occurrence of radiation pneumonitis in lung cancer (stage I IA or above, primary tumor≥2cm) with combined radiotherapy.Methods:A contrastive analysis of the occurrence of radiation pneumonitis was made in advanced malignant lung cancer during October 2012 to July 2013 with common, three-dimensional conformal or combined radiotherapy. Results: After fol owing up for 3 months, the cure rate in combined radiotherapy group was %. There is significant difference compared with common or three-dimensional conformal radiotherapy (P﹤0.01). The occurrence of radiation pneumonitis in combined radiotherapy group was obviously decreased (P﹤0.05). Conclusions: The occurrence of radiation pneumonitis decreased with the application of combined radiotherapy.