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高压氧治疗后立即放射治疗宫颈癌临床疗效观察

Treating cervical cancer with radiotherapy combined with hyperbaric oxygen treatment

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【作者】 喻道元周炜陈佳君庞军娥

【Author】 YU Dao-yuan, ZHOU Wei, CHEN Jia-jun, PANG Jun-e. Department of Hyperbaric Oxygen, Jingzhou Hospital, Tongji Medical College , Jingzhou 434020, China

【机构】 华中科技大学同济医学院附属荆州医院高压氧科华中科技大学同济医学院附属荆州医院肿瘤科华中科技大学同济医学院附属荆州医院高压氧科

【摘要】 目的探讨高压氧(HBO)治疗后立即放射治疗宫颈癌的疗效和应用价值。方法随机选择确诊为Ⅱ~Ⅲ期宫颈癌的患者58例,其中28例设为HBO组,30例为对照组。2组均常规采用60Co外照射+腔内后装治疗,HBO组在每次放射治疗前行HBO治疗,出舱后25 min内行放射治疗。结果HBO组完全缓解率(CR)为75.0%,总有效率(CR+PR)为92.8%,3年生存率为71.4%,局部复发率为10.7%,与对照组比较,差异有统计学意义(P<0.05);而且HBO组放射治疗副反应及并发症亦明显减少。结论HBO治疗后立即放射治疗是提高宫颈癌放射治疗疗效的有效途径。选择合理的对象和应用时机是提高疗效的关键环节。

【Abstract】 Objective To explore the clinical value when treating cervical cancer of supplementing radiotherapy with hyperbaric oxygen treatment. Methods Fifty-eight cervical cancer patients were randomly divided into 2 groups; the HBO group (n=28) received radiotherapy combined with hyperbaric oxygen treatment; a control group (n = 30) received only radiotherapy. Results The complete response rate (CR) of the HBO group was 75.0% , the partial response rate (PR) was 7.1% ,the effective rate(CR + PR) was 92.8% , the total 3 year survival rate was 71.4% , the local recurrence rate was 10.7% , and all of these results were significantly different from the controls (P <0.05). Conclusion Hyperbaric oxygen treatment can increase the effectiveness of radiotherapy in the treatment of cervical cancer.

【关键词】 高压氧宫颈癌放射治疗
【Key words】 Hyperbaric oxygenCervical cancerRadiotherapy
  • 【文献出处】 中华物理医学与康复杂志 ,Chinese Journal of Physical Medicine and Rehabilitation , 编辑部邮箱 ,2006年08期
  • 【分类号】R737.33
  • 【被引频次】10
  • 【下载频次】90
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