[1]陈健康,王春光.热塑体膜加温在乳腺癌根治术后调强放疗中的应用[J].医学信息,2020,33(12):94-95.[doi:10.3969/j.issn.1006-1959.2020.12.027]
　CHEN Jian-kang,WANG Chun-guang.Application of Thermoplastic Body Film Heating in Intensity-modulated Radiotherapy After Radical Mastectomy[J].Medical Information,2020,33(12):94-95.[doi:10.3969/j.issn.1006-1959.2020.12.027]
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热塑体膜加温在乳腺癌根治术后调强放疗中的应用()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年12期
页码:
94-95
栏目:
临床研究
出版日期:
2020-06-15

文章信息/Info

Title:
Application of Thermoplastic Body Film Heating in Intensity-modulated Radiotherapy After Radical Mastectomy
文章编号:
1006-1959（2020）12-0094-02
作者:
陈健康; 王春光
（重庆医科大学附属永川医院肿瘤科，重庆 402160）
Author(s):
CHEN Jian-kang; WANG Chun-guang
(Department of Oncology,Yongchuan Hospital,Chongqing Medical University,Chongqing402160,China)
关键词:
乳腺癌; 调强放疗; CBCT; 热塑体膜; 摆位误差
Keywords:
Breast cancer; Intensity-modulated radiotherapy; CBCT; Thermoplastic body film; Positioning error
分类号:
R737.9
DOI:
10.3969/j.issn.1006-1959.2020.12.027
文献标志码:
A
摘要:
目的 探讨乳腺癌根治术后调强放疗（IMRT）中体膜加温的临床应用价值。方法 选择2017年12月~2018年3月在我院接受IMRT的乳腺癌术后患者40例，随机分为试验组和对照组，各20例，均采用热塑体膜固定，试验组体膜加温至37 ℃，对照组体膜不加温。比较两组在左右（X）、头脚（Y）及腹背（Z）三维方向的摆位误差和出现线性误差大于5 mm的次数。结果 试验组在X、Y、Z方向的摆位误差均小于对照组在X、Y、Z方向的摆位误差，差异有统计学意义（P＜0.05）；试验组在X、Y方向出现线性误差大于5 mm的摆位次数少于对照组，差异有统计学意义（P＜0.05）；两组在Z方向出现线性误差大于5 mm的摆位次数比较，差异无统计学意义（P＞0.05）。结论 乳腺癌术后患者调强放疗时，使用热塑体膜固定时可以通过加温热塑体膜来减少摆位误差，从而提高治疗精度。
Abstract:
Objective To explore the clinical value of body heating in IMRT after radical mastectomy.Methods 40 patients with breast cancer who received IMRT in our hospital from December 2017 to March 2018 were selected and randomly divided into a test group and a control group. Each of 20 cases was fixed with a thermoplastic body membrane. When warmed to 37 ℃, the body membrane of the control group was not heated. Compare the position error of the two groups in the three-dimensional directions of left and right (X), head and foot (Y) and ventral back (Z) and the number of linear errors greater than 5 mm.Results The positioning errors of the test group in the X, Y, and Z directions are smaller than the control group in the X,Y, and Z directions,the difference was statistically significant(P<0.05);The number of swings in the experimental group in the X and Y directions with a linear error greater than 5 mm was less than that in the control group, the difference was statistically significant(P<0.05); the comparison of the number of swings in the Z direction with a linear error greater than 5 mm in the Z direction,the difference was not statistically significant(P>0.05).Conclusion In patients with postoperative breast cancer undergoing intensity-modulated radiotherapy, when fixing with thermoplastic body film, you can reduce the positioning error by heating the thermoplastic body film, in order to improving the accuracy of treatment.

参考文献/References:

[1]Zeng H,Zheng R,Zhang S,et al.Female Breast Cancer Statistics of 2010 in China:Estimates Based on Data from 145 Populationbased Cancer Registries[J].J Thorac Dis,2014,6(5):466-470.[2]徐慧,梁献伟,张遵浩,等.乳腺癌术后调强放疗热塑膜固定技术的改进方法研究[J].河北医药,2018,40(11):1714-1717.[3]张凯恋,张芬,林菲,等.热塑体膜固定双重标记下保乳术后调强放疗移位误差的初步分析[J].实用临床医药杂志,2015,19(17):51-53.[4]刘利彬,张小清,杨海松,等.乳腺癌放疗中两种体位固定方式应用比较[J].中国医学物理学杂志,2018,35(7):753-757.

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更新日期/Last Update: 1900-01-01