CAJ | 학술논문

随着放射治疗技术的改进以及对恶性肿瘤的综合治疗,恶性肿瘤患者的生存期逐渐延长.近年来,放射治疗后颈动脉狭窄以及脑血管病并发症越来越受到关注.现有研究表明,放射治疗后颈动脉狭窄并不仅仅与动脉粥样硬化有关,很可能是一种独立的血管病变.文章综述了头颈部与脑缺血事件的相关性、放射治疗后血管损伤的特点和机制以及放射治疗后颈动脉狭窄的危险因素、临床表现、诊断和治疗方法.
수착방사치료기술적개진이급대악성종류적종합치료,악성종류환자적생존기축점연장.근년래,방사치료후경동맥협착이급뇌혈관병병발증월래월수도관주.현유연구표명,방사치료후경동맥협착병불부부여동맥죽양경화유관,흔가능시일충독립적혈관병변.문장종술료두경부여뇌결혈사건적상관성、방사치료후혈관손상적특점화궤제이급방사치료후경동맥협착적위험인소、림상표현、진단화치료방법.
With the improvement of radiation therapy technology and the comprehensive treatment of malignant tumors,the survival time of patients with malignant tumors is gradually extended.In recent years,carotid stenosis and cerebrovascular disease complications after radiation therapy have received increasing attention.Existing studies have shown that carotid stenosis after radiation therapy is not only associated with atherosclerosis,it is likely to be an independent vascular lesion.This article reviews the correlation between head,neck and cerebral ischemic events,characteristics and mechanisms of vascular injury after radiation therapy,as well as the risk factors for carotid stenosis,clinical manifestations,and diagnosis and treatment methods after radiation therapy.