术前放疗在直肠恶性肿瘤综合治疗中的应用及早期、晚期放疗并发症分析

B. V. Luhts
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摘要

目标。目的:研究和评价术前放疗在肿瘤直肠患者综合治疗中应用后患者早期和晚期放射并发症的发生率和严重程度。材料和方法。对2019-2022年在Zakarpattya抗肿瘤中心放射治疗科接受术前肿瘤治疗的113例局部晚期( t3 - 4n1 - 2m0)肿瘤患者的治疗结果进行分析。结果。最常见的早期放射影响是直肠炎,在113例患者中有86例(76.1%)发生。5例(4.4%)患者有生殖系统器官的早期放射损害。9例(7.9%)患者出现晚期放疗影响,主要发生在肠道系统,5例(4.4%)患者出现晚期放疗影响。结论。Аnalysis对113例直肠癌患者进行的综合治疗结果显示,术前放疗不会增加早期放射并发症和血液毒性的发生率。早期放射损害的发生率为76.1%,晚期为7.9%。
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Early and late radiation complications after application of preoperative radiation therapy in complex treatment of cancer recti
Objective. To study and assess the rates and degree of severity of early and late radiation complications in patients after application of preoperative radiation therapy in complex treatment of the patients, suffering cancer recti. Materials and methods. Analysis of the treatment results in 113 patients, suffering locally–advanced (сT3с–4N1–2M0) cancer recti, who have obtained preoperative oncotherapy in 2019–2022 yrs in the Department of Radiation Therapy of Zakarpattya Antitumoral Centre, was performed. Results. Most frequent early radiation affection was rectitis, which have occurred – in 86 (76,1%) patients of 113. Early radiation affections of the reproductive system organs were noted in 5 (4,4%) patients. Late radiation affections were registered in 9 (7,9%) patients, mostly frequent in the gut system – in 5 (4,4%) patients. Conclusion. Аnalysis of the complex treatment results, performed in 113 patients with cancer recti, have shown, that preoperative radiation therapy do not enhance the rate of occurrence of early radiation complications and hematological toxicity. The rate of early radiation affections was 76,1%, and of the late – 7,9%.
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