中国骨与关节杂志
中國骨與關節雜誌
중국골여관절잡지
Chinese Journal of Bone and Joint
2015年
10期
802-805
,共4页
脊柱%骨肿瘤%放射外科手术%放射疗法,调强适形%近距离放射疗法%粒子植入
脊柱%骨腫瘤%放射外科手術%放射療法,調彊適形%近距離放射療法%粒子植入
척주%골종류%방사외과수술%방사요법,조강괄형%근거리방사요법%입자식입
Spine%Bone neoplasms%Radiosurgery%Radiotherapy,intensity-modulated%Brachytherapy%Particle implantation
With longer survival time of cancer patients, spine metastasis is of growing importance. Management of spine metastasis is quite complicated. Advances in research, surgical techniques and radiosurgical implementation have altered drastically the treatment paradigm for spine metastasis. At present, multi-disciplinary therapy including orthopedics, oncology, radiation oncology, neurosurgery and other disciplines are recommended. Radiation therapy has been proven effective to relieve the pain of spinal metastases. In patients with severe spinal metastases, who is unfavorable for operation, radiotherapy is preferred. Radiation therapy can be used alone or combined with chemotherapy and surgery. Stereotactic radiotherapy makes up for the deficiency of the traditional radiation therapy, giving maximum radiation dose to tumors on the premise of suitable surrounding organ tolerance. Traditional external radiation therapy, brachytherapy, intensity-modulated radiotherapy, stereotactic radiotherapy are commonly used. Radiation therapy of spinal metastases will be reviewed in this paper.