当代医学
噹代醫學
당대의학
Contemporary Medicine
2015年
31期
3-5
,共3页
发泡胶%头颈部肿瘤%放疗%临床研究
髮泡膠%頭頸部腫瘤%放療%臨床研究
발포효%두경부종류%방료%림상연구
Styrofoam%Head and neck neoplasms%Radiotherapy%Clinical research
目的：比较并分析头颈部肿瘤放疗运用发泡胶固定技术与常规体位固定技术相比的临床有效性。方法经赣州市肿瘤医院伦理委员会认可，回顾性分析经本院确诊的头颈部肿瘤患者67例，按照头颈肩体位固定体位方式的不同，随机分为发泡胶固定组（n=35）与常规固定枕组（n=32）。发泡胶固定组采用发泡胶固定技术，而常规固定枕组采用采用常规枕和头颈肩膜技术。放疗结束后，观察并分析2组患者在首次放疗时、半个月放疗时、最后一次放疗时在X轴、Y轴和Z轴上的体位摆放误差以及整个放疗期间的平均体位摆放误差。结果（1）发泡胶固定组与常规固定枕组在首次放疗时在X轴、Y轴和Z轴上的差异无统计学意义；（2）发泡胶固定组与常规固定枕组在半个月放疗时在X轴、Y轴和Z轴上的差异均有统计学意义（P<0.05）；（3）发泡胶固定组与常规固定枕组在最后一次放疗时在X轴、Y轴和Z轴上的差异均具有统计学意义（P<0.01）；（4）发泡胶固定组与常规固定枕组在整个放疗期间的平均体位摆放误差的差异均具有统计学意义（P<0.05）。结论发泡胶固定技术相比于传统的固定技术能为头颈部肿瘤患者提供更舒适、更适形、重复性好的放疗体位固定方法，随着该方法的临床应用，必将会使更多的患者受益。
目的：比較併分析頭頸部腫瘤放療運用髮泡膠固定技術與常規體位固定技術相比的臨床有效性。方法經贛州市腫瘤醫院倫理委員會認可，迴顧性分析經本院確診的頭頸部腫瘤患者67例，按照頭頸肩體位固定體位方式的不同，隨機分為髮泡膠固定組（n=35）與常規固定枕組（n=32）。髮泡膠固定組採用髮泡膠固定技術，而常規固定枕組採用採用常規枕和頭頸肩膜技術。放療結束後，觀察併分析2組患者在首次放療時、半箇月放療時、最後一次放療時在X軸、Y軸和Z軸上的體位襬放誤差以及整箇放療期間的平均體位襬放誤差。結果（1）髮泡膠固定組與常規固定枕組在首次放療時在X軸、Y軸和Z軸上的差異無統計學意義；（2）髮泡膠固定組與常規固定枕組在半箇月放療時在X軸、Y軸和Z軸上的差異均有統計學意義（P<0.05）；（3）髮泡膠固定組與常規固定枕組在最後一次放療時在X軸、Y軸和Z軸上的差異均具有統計學意義（P<0.01）；（4）髮泡膠固定組與常規固定枕組在整箇放療期間的平均體位襬放誤差的差異均具有統計學意義（P<0.05）。結論髮泡膠固定技術相比于傳統的固定技術能為頭頸部腫瘤患者提供更舒適、更適形、重複性好的放療體位固定方法，隨著該方法的臨床應用，必將會使更多的患者受益。
목적：비교병분석두경부종류방료운용발포효고정기술여상규체위고정기술상비적림상유효성。방법경공주시종류의원윤리위원회인가，회고성분석경본원학진적두경부종류환자67례，안조두경견체위고정체위방식적불동，수궤분위발포효고정조（n=35）여상규고정침조（n=32）。발포효고정조채용발포효고정기술，이상규고정침조채용채용상규침화두경견막기술。방료결속후，관찰병분석2조환자재수차방료시、반개월방료시、최후일차방료시재X축、Y축화Z축상적체위파방오차이급정개방료기간적평균체위파방오차。결과（1）발포효고정조여상규고정침조재수차방료시재X축、Y축화Z축상적차이무통계학의의；（2）발포효고정조여상규고정침조재반개월방료시재X축、Y축화Z축상적차이균유통계학의의（P<0.05）；（3）발포효고정조여상규고정침조재최후일차방료시재X축、Y축화Z축상적차이균구유통계학의의（P<0.01）；（4）발포효고정조여상규고정침조재정개방료기간적평균체위파방오차적차이균구유통계학의의（P<0.05）。결론발포효고정기술상비우전통적고정기술능위두경부종류환자제공경서괄、경괄형、중복성호적방료체위고정방법，수착해방법적림상응용，필장회사경다적환자수익。
Objective To compare and analyze the effectiveness of head and neck cancer radiotherapy using foam fixing technology and technique of immobilization compared the clinical routine.Methods Approved by the ethics committee of Ganzhou Cancer Hospital a retrospective review of 67 patients with head and neck cancer analysis of menstrual the hospital diagnosed cases, according to the head and shoulder posturefixed position in different ways, randomly divided into foamfixation group (35 cases) and conventionalfixed pillow group (32 cases). Fixed group with fixation of styrofoam foam, while the conventional group was treated with conventionalfixed pillow pillow and the neck shoulderfilm technology. After the end of radiotherapy, observation and analysis of two groups of patients in radiotherapy for thefirst time, half a month after, last time when the average position during radiotherapy of X axis, Y axis and Z axis position error and the error of the placement of radiotherapy.Results (1) Group and the conventionalfixedfixed foam pillow for thefirst time in radiotherapy group in the difference between Y and Z axis, X axis, was not statistically significant; (2) Foamfixed group and the conventionalfixed pillow group in half a month radiotherapy difference in the Y and Z axis, X axis, have statistical significance (P<0.05); (3) Group and the conventionalfixedfixed foam pillow group in the last radiation difference in the Y and Z axis, X axis, were very significant (P<0.01); (4) The difference of styrofoamfixed group and the conventional group average position in the whole pillow during radiotherapy the placement errors were statistically significant (P<0.05).Conclusion The technique offixedfixed foam technology compared to the traditional radiotherapyfixation method can provide more comfortable, more conformal, good repeatability for patients with head and neck cancer, the clinical application of this method, it will make more patients benefit.
