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大多数Ⅰ-Ⅱ期何杰金氏病可由放疗治愈,但仍有一部分病人容易复发,特别是有纵隔巨大肿块的病例,复发的原因可能有:1.原发肿瘤的剂量不足;2.对某些部位没给预防性照射;3.没能发现全部临床侵及部位;4.内在放射抵抗性。为此,提出以下措施:1.应用部分穿透射线的肺遮挡块;2.全肺照射;3.利用CT 影像做治疗计划;4.常规应用化疗。自1980年10月至1983年7月美国斯坦福大学放疗科收治13例12岁至65岁未经治疗的病人,用前后位胸片测量纵隔肿块的最大宽度及胸腔最大横径,计算纵隔肿块比(MMR),本组病人MMR
Most of stage I-II Hodgkin’s disease can be cured by radiotherapy, but some patients are still prone to relapse, especially in cases with large mediastinal masses. The causes of recurrence may be: 1. The dose of primary tumors is insufficient; 2. Some areas did not give preventive irradiation; 3. Did not find all clinical sites of invasion; 4. Intrinsic radioresistance. To this end, the following measures are proposed: 1. Application of a partially permeable lung shield; 2. Whole lung irradiation; 3. Use of CT images for treatment planning; 4. Routine use of chemotherapy. From October 1980 to July 1983, 13 patients (12 to 65 years of age) who were untreated in the Department of Radiotherapy at Stanford University in the United States used anteroposterior chest radiographs to measure the maximum width of the mediastinum mass and the maximum transverse diameter of the chest cavity. The ratio of mediastinal masses was calculated. (MMR), this group of patients MMR