首页|锥束CT引导的恶性肿瘤放射治疗的临床效果研究

锥束CT引导的恶性肿瘤放射治疗的临床效果研究

Clinical effect of cone-beam computed tomography-guided radiotherapy for malignant tumors

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目的:分析锥束CT(cone-beam computed tomography,CBCT)引导恶性肿瘤放射治疗的效果.方法:选取2021年10月至2022年10月接受放射治疗的68例恶性肿瘤患者为研究对象,随机抽签法分为观察组与对照组,其中观察组34例患者行CBCT引导放射治疗,频率为1次/d,对照组34例患者同样接受CBCT引导放射治疗,频率为1次/3 d,对比分析CBCT引导方式临床成效情况.结果:观察组x、y、z轴摆位误差及摆位外扩边界的绝对值均低于对照组(P<0.05),观察组恶性肿瘤患者在大体肿瘤区、计划靶区的最大照射剂量、平均照射剂量均高于对照组(P<0.05),观察组客观有效率高于对照组(P<0.05),观察组各领域生存质量评分均高于对照组(P<0.05).结论:利用CBCT在治疗前对恶性肿瘤患者进行扫描引导,可降低患者在放疗过程中的摆位误差,随着CBCT扫描频率的增加,更好地提升放疗的适应性与精确度,确保治疗成效,防止产生不适反应.
Objective:To analyze the effect of cone-beam computed tomography(CBCT)guided radiotherapy for malignant tumors.Methods:A total of 68 patients with malignant tumors who received radiotherapy from October 2021 to October 2022 were selected as the research objects.They were ran-domly divided into observation group and control group.Among them,34 patients in the observation group received CBCT-guided radiotherapy,with a frequency of 1 time/d.34 patients in the control group also received CBCT-guided radiotherapy,with a frequency of 1 time/3 d.The clinical effects of CBCT-guided methods were compared and analyzed.Results:The absolute values of x,y,z axis setup errors and setup expansion boundary in the observation group were lower than those in the control group(P<0.05).The maximum irradiation dose and average irradiation dose of malignant tumor pa-tients in the gross tumor area and planned target area in the observation group were higher than those in the control group(P<0.05).The objective effective rate of the observation group was higher than that of the control group(P<0.05).The quality of life scores in all fields of the observation group were higher than those of the control group(P<0.05).Conclusion:For patients with malignant tumors,CBCT scanning and guidance before treatment can reduce the positioning error during radio-therapy.With the increase of CBCT scanning frequency,the adaptability and accuracy of radiotherapy can be better improved,the treatment effect can be ensured,and the discomfort reaction can be pre-vented.

CBCTMalignant tumorRadiation therapy

李威、王春彦、周士祥

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蚌埠医学院第一附属医院,安徽蚌埠 233000

CBCT 恶性肿瘤 放射治疗

2024

包头医学院学报
内蒙古科技大学包头医学院

包头医学院学报

影响因子:0.543
ISSN:1006-740X
年,卷(期):2024.40(12)