Curative Effect Analysis of 90 Cases of Cervical Cancer Adopting Intensity Modulated Radiation Therapy Combining 3D Brachytherapy Treatment
Abstract: Objective: To discuss the clinical effects and side effects of intensity modulated radiation therapy combining 3D Brachytherapy Treatment on treating cervical cancer. Method: A retrospective analysis was made on 1-, 2-, 3-year survival rate and local control rate of 90 cases of II b period - III b period non-surgical cervical cancer patients who adopted whole pelvic IMRT+3D-BT+ concur- rent chemotherapy. Total external irradiation amount: 50.4 - 56.35 Gy; 3D Brachytherapy Treat- ment 5 times (6.25 GyEGD2). The follow-up visits adopted outpatient review and telephone follow- up. Result: Among 90 cases, 1-year survival rate is 92.22%, 2-year is 84.44%, 3-year is 80%. And the local control rate is 93.3%. There is no side effects over III levels in the digestive system at the early stage. Two cases suffered from III level side effects at the later stage. There is no side effects over III levels in the urinary system at the early stage. One case suffered from III level side effects at the later stage. Conclusion: Middle and later stage cervical cancer IMRT combining 3D-BT and concurrent chemotherapy have good tolerance. The survival rates of 1-, 2-, 3-year are separately 92.22%, 84.4% and 80%. IMRT can be the further developing direction of cervical cancer treat-ment.
文章引用: 刘诗苑 , 常建英 , 李凤虎 , 李杰慧 , 袁 佳 , 李 杰 , 冉 立 (2015) 90例子宫颈癌调强放疗联合三维近距离治疗的疗效分析。 临床医学进展， 5， 17-21. doi: 10.12677/ACM.2015.51004
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