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自60年代后期起,临床上开展了对肝癌的放射治疗研究。在放射方法、设野、每日放射量及总剂量等方面,得到了一定结果。自80年代起,开始探索提高放射疗效的方法。迄今20年我院放射治疗原发性肝癌632例。兹对适应征的选择、副作用的防治和开展综合治疗以提高疗效等问题的体会分述如下。 一、适应证的选择 作者过去曾指出,原发性肝癌如呈局灶性、直径在10cm以下、门静脉无癌栓、无远处转移、肝硬化不明显者,放射治疗有可能予
Since the late 1960s, radiotherapy for liver cancer has been clinically studied. Some results were obtained in terms of radiation method, setting field, daily radiation dose and total dose. Since the 1980s, he has begun to explore ways to improve the efficacy of radiation. In the past 20 years, 632 cases of primary liver cancer have been treated with radiotherapy in our hospital. The following is a summary of the understanding of the selection of indications, the prevention and control of side effects, and the development of comprehensive treatment to increase the efficacy. First, the choice of indications Authors have pointed out in the past, primary liver cancer, such as was focal, diameter of 10cm or less, no portal vein cancer thrombosis, no distant metastasis, cirrhosis is not obvious, radiation therapy may be