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妇科放疗十年回顾与展望

郑光浩 楼寒梅

实用肿瘤杂志2024,Vol.39Issue(6):521-530,10.
实用肿瘤杂志2024,Vol.39Issue(6):521-530,10.DOI:10.13267/j.cnki.syzlzz.2024.077

妇科放疗十年回顾与展望

10-year review and prospect of gynaecological radiotherapy

郑光浩 1楼寒梅2

作者信息

  • 1. 阿克苏地区第一人民医院放疗科,新疆维吾尔自治区 阿克苏地区 843000
  • 2. 浙江省肿瘤医院妇瘤放疗科,中国科学院杭州医学研究所,浙江 杭州 310022
  • 折叠

摘要

Abstract

In recent years,with the advancement and iteration of imaging,computer technology,and radiotherapy equipment,it has led to the innovation of the overall radiotherapy technology for gynaecological malignancies.Modern gynaecological radiotherapy technology,represented by radical radiotherapy for cervical cancer,has applied image-guided precision radiotherapy technology in the field of external beam radiation therapy(EBRT)and brachytherapy(BT),combining with the concept of process tumour regression,which has brought the precision radiotherapy to a new height,improved local and pelvic control,enhanced radiotherapy gain ratios,and reduced late gastrointesti-nal and urinary tract toxicity which is half of that observed in the 2D era.Especially for those with large tumours,the BT insertion technique provides an exceptional radiotherapy solution for patients who cannot achieve the desired planning goals with conventional techniques.The irradiation technique with large segmentation provides a non-invasive local treatment option for patients with advanced recurrence.Optimisation of overall radiotherapy-based treatment strategies,including synchronous chemotherapy and adjuvant chemotherapy,has en-hanced the efficacy of intermediate and advanced gynaecological malignancies.The enhancement of radiotherapy technology also requires the construction of a system of standardised radiotherapy and the necessary training to achieve homogeneous treatment standards.

关键词

子宫颈癌/子宫内膜癌/放疗/近距离放疗/图像引导放疗

Key words

cervical cancer/endometrial cancer/radiotherapy/brachytherapy/image-guided radiotherapy

引用本文复制引用

郑光浩,楼寒梅..妇科放疗十年回顾与展望[J].实用肿瘤杂志,2024,39(6):521-530,10.

基金项目

"尖兵""领雁"研发攻关科技合作项目(2022C04001) (2022C04001)

实用肿瘤杂志

OACSTPCD

1001-1692

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