CAJ | 학술논문

目的：制作铅眼罩并应用于眼部恶性肿瘤及良性病变放射治疗中，以减轻放疗过程中辐射对正常组织的损伤。方法：采用厚度2.5～3 mm的铅皮加工制作成圆形球面，使用时在铅眼罩两面涂上红霉素眼膏，作为铅眼罩与眼球表面及眼睑之间的润滑接触剂，使铅眼罩顺利放入，减少刺激。治疗恶性肿瘤时，同时覆盖10～15 mm厚的电子线补偿物于外眼睑；治疗翼状弩肉时，眼睑部无需补偿物。结果：I度-偶尔或轻度眼部疼痛或干燥；II度-间隙性或可忍受的眼部疼痛或干燥；III度-持续性或剧烈的眼部疼痛或干燥；IV度-难治、剧烈的眼部疼痛或干燥。结论：铅防护眼罩的应用既保证患者放射治疗的疗效，又减轻辐射对正常组织的损伤，且方法简单、易操作、副作用小，患者可以接受。
목적：제작연안조병응용우안부악성종류급량성병변방사치료중，이감경방료과정중복사대정상조직적손상。방법：채용후도2.5～3 mm적연피가공제작성원형구면，사용시재연안조량면도상홍매소안고，작위연안조여안구표면급안검지간적윤활접촉제，사연안조순리방입，감소자격。치료악성종류시，동시복개10～15 mm후적전자선보상물우외안검；치료익상노육시，안검부무수보상물。결과：I도-우이혹경도안부동통혹간조；II도-간극성혹가인수적안부동통혹간조；III도-지속성혹극렬적안부동통혹간조；IV도-난치、극렬적안부동통혹간조。결론：연방호안조적응용기보증환자방사치료적료효，우감경복사대정상조직적손상，차방법간단、역조작、부작용소，환자가이접수。
Objective:To introduce the fabrication of lead eyeshade and its use in the radiotherapy of both malignant and benign eye tumors and observe the preliminary clinical effect. Methods:To lead sheet with thickness of 2.5-3mm was fabricated into spherical eyeshade and erythromycin Eye Ointment was smeared onto it. Results:According to EORTC criteria, the first level side effect was occasional and mild pain and drying of the eye. The second level was intermittent and tolerable pain and drying of the eye. The third level was constant and intense pain and drying of the eye and the fourth level was incurable and intolerable and drying of the eye. Conclusion:It was shown that the use of lead eyeshade can not only ensure the efficacy of radiotherapy, but also reduce the incidence of radiation injury of surrounding normal tissues. The method used for making of lead eyeshade is effective and easy to grasp.