论文部分内容阅读
自１９９２年３月治疗非小细胞肺癌４８例，其中放热化２６例、单纯放疗２２例；鳞癌３９例、腺癌８例、类癌１例。采用高能Ｘ线常规放疗，ＤＴ５０～７０Ｇｙ；使用８ＭＨｚＲＦ热疗机，放疗后３０～６０ｍｉｎ内热疗，每次６０ｍｉｎ，温度４１～４３℃，每周两次、８～１２次为一疗程；化疗在放疗后、热疗前或与热疗同时进行，每周１次。治疗结果：放热化组ＣＲ６例、ＰＲ１３例、ＭＲ７例；单放组ＣＲ４例、ＰＲ９例、ＭＲ８例、ＮＲ１例。总有效率（ＣＲ＋ＰＲ）：放热化组７３．１％、单放组５９．１％，Ｐ＞０．０５。放热化组有５例ＣＴ示较大的肿瘤内有明显的低密度区，为肿瘤凝固性坏死征象。与热疗有关的反应为胸痛、心悸和轻度呼吸困难.
Since March 1992, 48 cases of non-small cell lung cancer were treated, including 26 cases of exothermic radiation and 22 cases of radiotherapy alone; 39 cases of squamous cell carcinoma, 8 cases of adenocarcinoma, and 1 case of carcinoid. High-energy X-ray conventional radiotherapy, DT50 ~ 70Gy; use of 8MHzRF hyperthermia, 30 ~ 60min after radiotherapy hyperthermia, each 60min, temperature 41 ~ 43 °C, twice a week, 8 ~ 12 times for a course of chemotherapy; After radiotherapy, before hyperthermia or at the same time as hyperthermia, once a week. The results of treatment: exotherm group CR6 cases, PR13 cases, MR7 cases; single release group CR4 cases, PR9 cases, MR8 cases, NR1 cases. The total effective rate (CR+PR): 73.1% in the exothermic group and 59.1% in the radiotherapy group, P>0.05. In the exothermic group, 5 cases of CT showed that there was a significant low-density area in the larger tumor, which was a sign of coagulative necrosis of the tumor. The reactions associated with hyperthermia are chest pain, palpitations and mild dyspnea.