文章摘要
大肝癌三维适形放疗疗效相关CT征象分析
Analysis of three dimensional conformal radiotherapy treatment for advanced hepatocellular carcinoma with CT signs
投稿时间:2015-12-02  
DOI:10.3969/j.issn.1000-0399.2016.12.022
中文关键词: 肝癌  CT征象  三维适形放射治疗  早期疗效
英文关键词: Hepatocellular carcinoma  CT signs  Three dimensional conformal radiotherapy treatment  Early efficacy
基金项目:
作者单位E-mail
张茜 230031 合肥 中国人民解放军第105医院影像科  
张禹 230031 合肥 中国人民解放军第105医院影像科  
卢东徽 230031 合肥 中国人民解放军第105医院影像科  
张立洁 230031 合肥 中国人民解放军第105医院肿瘤中心  
朱友志 230031 合肥 中国人民解放军第105医院肿瘤中心 zyz105f@163.com 
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中文摘要:
      目的 分析中晚期大肝癌三维适形放疗(3D-CRT)患者的CT征象。方法 选择2012年7月至2014年7月在中国人民解放军第105医院接受3D-CRT的60例中晚期大肝癌患者,收集患者治疗前的CT征象。根据治疗效果,分为有效组(26例)和无效组(34例),比较分析两组患者的CT征象。结果 两组患者的病灶单发与多发、癌栓、动静脉瘘及病灶大小进行比较,差异有统计学意义(P<0.05),而病灶部位、有无包膜、坏死及强化程度的差异无统计学意义(P>0.05)。结论 肝癌病灶较大、有癌栓、动静脉瘘或多发可能提示3D-CRT的早期疗效不佳。
英文摘要:
      Objective To explore the effect of partial CT signs on the efficacy of advanced large liver cancer with three dimensional conformal radiotherapy treatment(3D-CRT).Methods Sixtypatients with advanced hepatocellular carcinoma who underwent 3D-CRT at the 105th hospital of PLA from July, 2012 to July, 2014 were enrolled and the CT signs of the patients before treatment were collected. According to therapeutic effect, the patients were divided into effective group (26 cases) and invalid group (34 cases), and CT signsof the two groups of patients were compared.Results There was significant difference in single or multiple, cancer embolus, arteriovenous fistula and tumor size between two groups(P<0.05), while there was no significant difference in tumor location, existence of lesion capsule and necrosis and degree of enhancement (P>0.05).Conclusion Large tumor, multiple, with cancer embolus or arteriovenous fistula may indicate poor early efficacy of 3D-CRT.
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