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目的探讨调强适形放射治疗复发性妇科恶性肿瘤的临床治疗效果。方法回顾性分析安阳市肿瘤医院收治的48例复发性妇科恶性肿瘤患者的临床资料,在治疗的过程中对48例患者使用调强适形放射治疗,在治疗之后对患者病情进行评分,对其治疗效果进行统计学分析。结果本组48例患者均完成全程放射治疗。在治疗结束之后,完全缓解17例,部分缓解26例,好转5例,近期总缓解率为92.3%。18例患者出现Ⅰ~Ⅱ级消化道反应,19例出现Ⅰ~Ⅱ度骨髓抑制,8例出现Ⅰ级皮肤反应。结论调强适形放射治疗复发性妇科恶性肿瘤可以有效控制患者病情,患者的治疗效果优良,其可以有效提高患者的生存率,值得在临床治疗中进行推广使用。
Objective To investigate the clinical effect of intensity-modulated conformal radiotherapy for recurrent gynecological malignancies. Methods The clinical data of 48 patients with recurrent gynecologic malignancies admitted to Anyang Cancer Hospital were retrospectively analyzed. Forty-eight patients underwent intensity-modulated conformal radiation therapy during the course of treatment. The patients’ condition was scored after treatment. Treatment effect for statistical analysis. Results The group of 48 patients completed the whole course of radiation therapy. At the end of treatment, complete remission in 17 cases, partial remission in 26 cases, improved in 5 cases, the recent total remission rate was 92.3%. 18 cases of grade Ⅰ ~ Ⅱ gastrointestinal reactions, 19 cases of grade Ⅰ ~ Ⅱ myelosuppression, 8 cases of grade Ⅰ skin reaction. Conclusions TCDC can effectively control the patient’s condition in patients with recurrent gynecological malignancies. The treatment effect is excellent, which can effectively improve the survival rate of patients. It is worth to promote the use in clinical treatment.