CAJ | 학술논문

目的探讨三维适形调强放疗联合近距离腔内照射治疗老年宫颈残端癌患者的价值。方法回顾性分析南京医科大学附属江苏省肿瘤医院2012年1月~2013年12月间收入院行三维适形调强放疗联合近距离腔内照射的13例宫颈残端癌老年患者临床资料，并进行随访，随访截止至2014年6月，观察患者的近期疗效及并发症情况。结果①近期疗效院13例患者SCC下降率为(77.8依4.5)%，总有效率为83.3%(10/13)。②近期并发症院13例患者出现近期并发症4例(4/13)，为I级直肠反应。结论对于宫颈残端癌老年患者，三维适形调强放疗联合近距离腔内照射，安全有效，值得进一步推广。
목적탐토삼유괄형조강방료연합근거리강내조사치료노년궁경잔단암환자적개치。방법회고성분석남경의과대학부속강소성종류의원2012년1월~2013년12월간수입원행삼유괄형조강방료연합근거리강내조사적13례궁경잔단암노년환자림상자료，병진행수방，수방절지지2014년6월，관찰환자적근기료효급병발증정황。결과①근기료효원13례환자SCC하강솔위(77.8의4.5)%，총유효솔위83.3%(10/13)。②근기병발증원13례환자출현근기병발증4례(4/13)，위I급직장반응。결론대우궁경잔단암노년환자，삼유괄형조강방료연합근거리강내조사，안전유효，치득진일보추엄。
Objective To evaluate the ef icacy of the intensity modulated radiotherapy for old patients of cervical stump cancer. Methods A retrospective study included 13 old patients from January 2012 to December 2013 with cervical stump cancer was performed. Al 13 cases were treated with intensity modulated radiotherapy (IMRT) and brachytherapy. The ef icacy and complications were analyzed after treatments. Results For al 13 patients, the decrease of SCC was (77.8±4.5)%, the ef ective rate was 83.3% (10/13) and only 4 patients suf ered grade Iacute rectum reaction. Conclusion The IMRT and braehytherapy for the old patients with cervical stump cancer may result in satisfactory ef ects and acceptable complications.