妇儿健康导刊2024,Vol.3Issue(5) :88-90,94.

不同体位固定方式在乳腺癌放疗中的应用

Application of different postural fixation methods in radiotherapy of breast cancer

宋翠香
妇儿健康导刊2024,Vol.3Issue(5) :88-90,94.

不同体位固定方式在乳腺癌放疗中的应用

Application of different postural fixation methods in radiotherapy of breast cancer

宋翠香1
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作者信息

  • 1. 济南市第三人民医院放疗室,山东济南 250132
  • 折叠

摘要

目的 探讨不同体位固定方式在乳腺癌放疗中的应用.方法 选取 2022 年1月至 2023 年 8 月济南市第三人民医院收治的 60 例乳腺癌患者,按照随机数字表法分为A组与B组,每组各 30 例.A组采用乳腺托架固定,B组采用负压垫加头膜固定.比较两组体位摆放误差、体位摆放时间及临床靶区(CTV)-计划靶区(PTV)外扩边界值.结果 B组Y、Z方向的体位摆放误差均低于A组(P<0.05).两组X方向的体位摆放误差比较,差异无统计学意义(P>0.05).B组体位摆放时间短于A组(P<0.05).B组X、Y、Z方向CTV-PTV外扩边界值分别为 2.16、1.86、2.22 mm,A组X、Y、Z方向CTV-PTV外扩边界值分别为 3.77、3.30、3.80 mm.结论 与乳腺托架固定相比,负压垫加头膜固定可减少乳腺癌放疗患者Y、Z方向的体位摆放误差,缩短体位摆放时间,降低CTV-PTV外扩边界值.

Abstract

Objective To investigate the application of different postural fixation methods in radiotherapy of breast cancer.Methods A total of 60 patients with breast cancer admitted to Jinan Third People's Hospital from January 2022 to August 2023 were selected and divided into group A and group B according to the random number table method,with 30 cases in each group.Group A used breast bracket fixation,and group B used negative pressure pad and head film fixation.The position placement error,position placement time and clinical target volume(CTV)-planning target volume(PTV)expansion boundary were compared between the two groups.Results The position placement errors in Y and Z directions in group B were lower than those in group A(P<0.05).There were no significant differences between the two groups in the position placement errors in X direction(P>0.05).The position placement time in group B was shorter than that in group A(P<0.05).The expansion boundary values of CTV-PTV in X,Y and Z directions were 2.16,1.86 and 2.22 mm for group B,and 3.77,3.30 and 3.80 mm for group A in X,Y and Z directions,respectively.Conclusion Compared with breast bracket fixation,negative pressure pad and head film fixation can reduce Y and Z position placement errors,shorten position placement time,and lower the CTV-PTV expansion boundary value in breast cancer radiotherapy patients.

关键词

乳腺癌/放疗/体位摆放

Key words

Breast cancer/Radiotherapy/Position placement

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出版年

2024
妇儿健康导刊
婚姻与家庭杂志社

妇儿健康导刊

ISSN:2097-115X
参考文献量15
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