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射波刀治疗局部进展期及合并远处转移胰腺癌的效果分析

张爱民 常小云 李文刚 韩萍 薛慧 王卉 段学章

张爱民, 常小云, 李文刚, 韩萍, 薛慧, 王卉, 段学章. 射波刀治疗局部进展期及合并远处转移胰腺癌的效果分析[J]. 临床肝胆病杂志, 2019, 35(1): 143-146. DOI: 10.3969/j.issn.1001-5256.2019.01.027.
引用本文: 张爱民, 常小云, 李文刚, 韩萍, 薛慧, 王卉, 段学章. 射波刀治疗局部进展期及合并远处转移胰腺癌的效果分析[J]. 临床肝胆病杂志, 2019, 35(1): 143-146. DOI: 10.3969/j.issn.1001-5256.2019.01.027.
Zhang AiMin, Chang XiaoYun, Li WenGang, Han Ping, Xue Hui, Wang Hui, Duan XueZhang. Clinical effect of Cyber Knife radiosurgery in locally advanced pancreatic cancer or pancreatic cancer with distant metastasis[J]. J Clin Hepatol, 2019, 35(1): 143-146. DOI: 10.3969/j.issn.1001-5256.2019.01.027.
Citation: Zhang AiMin, Chang XiaoYun, Li WenGang, Han Ping, Xue Hui, Wang Hui, Duan XueZhang. Clinical effect of Cyber Knife radiosurgery in locally advanced pancreatic cancer or pancreatic cancer with distant metastasis[J]. J Clin Hepatol, 2019, 35(1): 143-146. DOI: 10.3969/j.issn.1001-5256.2019.01.027.

射波刀治疗局部进展期及合并远处转移胰腺癌的效果分析

DOI: 10.3969/j.issn.1001-5256.2019.01.027
详细信息
  • 中图分类号: R735.9

Clinical effect of Cyber Knife radiosurgery in locally advanced pancreatic cancer or pancreatic cancer with distant metastasis

  • 摘要: 目的评价射波刀治疗局部进展期及合并远处转移胰腺癌的有效性和安全性。方法选取2012年1月-2015年4月在解放军总医院第五医学中心接受射波刀治疗的胰腺癌患者32例(9例联合动脉灌注化疗治疗),其中局部进展期18例,合并远处转移14例(肝转移12例,其中2例合并肺转移;骨转移2例)。治疗后每2个月进行1次影像学评价,采用实体瘤的疗效评价标准(RECIST)对局部缓解率进行分级,采用CT为基础的影像学检查评价肿瘤有无进展,应用常见不良反应事件标准(CTCAE3. 0)评价不良反应。Kaplan-Meier法计算总生存期和局部无进展生存期,log-rank检验分析不同分组患者之间总生存期差异。结果 32例患者中病变位于胰头21例、胰体尾11例;病理为腺癌30例,其他2例; TNM分期:T3 25例,T4 7例; N0 23例,N1 9例; M0 18例,M1 14例。9例射波刀联合动脉灌注化疗治疗中5例胃十二指肠动脉、1例肠系膜上动脉、3例脾动脉。32例患者中4例(12. 50%)完全缓解,18例(56. 25%)为部分缓解,6例(18. 75%)为疾病稳定,4例(12. 50%)出现疾病进...

     

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    2. 张军舰,薛俊霞,张征召,丛阳,丁丽娟. 全脑放射治疗联合射波刀治疗多发脑转移瘤的临床疗效及对患者生活自理能力的影响. 山西医药杂志. 2022(08): 843-845 . 百度学术
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  • 收稿日期:  2018-08-07
  • 出版日期:  2019-01-20
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