摘要
目的:观察肺癌患者临床情况与放射性肺炎的(RP)关系。方法:总结419例需行放射治疗的Ⅱ～Ⅲb期肺癌患者的治疗情况,分析年龄、性别、病检、临床分期、肿瘤位置、化疗、手术、肺部疾病、吸烟指数、放疗剂量及放疗机类型对RP发生率的影响。结果:本组RP发生率为29.6%,女性高于男性;中心型高于周围型;单纯放疗者高于术后放疗者;合并有慢支、肺气肿的患者高于肺部无基础疾病者;采用18MV加速器放疗者低于60Co机治疗者;放疗剂量与RP发生率相关。而患者年龄、临床分期、病理类型、是否合并化疗以及吸烟指数与RP的发生无明显关系。结论:性别、肿瘤位置、手术、肺部并发症、放疗剂量及放疗机类型明显影响RP的发生。
Objective:Identify the factors of lung cancer may predict for Radiation Pneumonitis(RP).Methods:From Jenuary1990to December1998,419patients have been treated with radiotherapy.Study the potential predictive between crude rate of RP and factors included age,gender,histology,stage,tumor lobe,chemotherapy,operation,basis disease of lung,smoke,radiation dose,radiation machine.Results:124patients experienced RP,the risk of RP are gender,tumor lobe,operation,basis disease of lung,radiation dose and radiation machine.But the age,histology,stage,chemotherapy and smoke don`t predictive crude rate of RP.Conclusion:The gender,tumor lobe,operation,basis disease of lung,radiation dose and radiation machine are predictive crude rate of RP.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
2002年第12期866-868,共3页
Chinese Journal of Clinical Oncology
