CAJ | 학술논문

目的：探讨合并纵隔淋巴结转移的非小细胞肺癌应用2种伽玛刀治疗后的效果及在放射性食管炎及肺炎等并发症方面的差别。方法按照条件相似的患者各选择100例做对照研究，应用各自方法，常用放疗剂量，自放疗后3～6个月做治疗后随访，评价近期放疗效果，放射性食管炎及肺炎的情况。结果在短期的疗效上两者之间有没有统计学差异，在放射性食管炎上，食管炎的发病率伽玛刀多于陀螺刀治疗（P＜0．01），放射性肺炎两组之间没有差别（P＞0．05）。结论对小细胞肺癌2种类型的伽玛刀都具有较好的治疗效果，在保护食管方面，陀螺刀治疗有较好的保护作用。
목적：탐토합병종격림파결전이적비소세포폐암응용2충가마도치료후적효과급재방사성식관염급폐염등병발증방면적차별。방법안조조건상사적환자각선택100례주대조연구，응용각자방법，상용방료제량，자방료후3～6개월주치료후수방，평개근기방료효과，방사성식관염급폐염적정황。결과재단기적료효상량자지간유몰유통계학차이，재방사성식관염상，식관염적발병솔가마도다우타라도치료（P＜0．01），방사성폐염량조지간몰유차별（P＞0．05）。결론대소세포폐암2충류형적가마도도구유교호적치료효과，재보호식관방면，타라도치료유교호적보호작용。
Objective To investigate the effects of patients who had non-small cell lung cancer treated by two type gamma-knifes and the differences of complications for radiation induced esophagitis and pneumonitis according to similar conditions. Methods A case-control study about a hundred patients each group,evaluated radiotherapy outcomes and complications of radiation induced esophagitis and pneumonitis lately after 3-6 months using radiotherapy methods and radiotherapy doses respectively. Results There were no significant difference for treatment outcomes in short term,but there were significan difference for radiation induced esophagitis,it was more higher rate of esophagitis used by body gamma knife than spinning top knife (P<0.01),There were no difference for radiation induced pneumonitis (P>0.05). Conclusion Two type gamma knifes had good treatment both, there was a better protecting for esophagus using spinning top knife.