[后负荷法联合激光技术治疗支气管内肿瘤的新可能性]。

Strahlentherapie Pub Date : 1985-11-01
W Schumacher, K Koch, D Frost, L Michel, M Plümecke, K Lübbert, J Mai, D Krumhaar, H N Macha, M Stadler
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引用次数: 0

摘要

支气管癌放疗的新可能性是由最近引入的后加载方法和neodyme-YAG激光的联合应用提供的,该方法迄今为止用于支气管癌狭窄过程的治疗,neodyme-YAG激光以这样的方式打开狭窄,后加载探针可以插入。这种新方法可以在没有并发症或缺点的情况下进行进一步的联合治疗,如经皮照射(远距钴、直线加速器或电子加速器)。由于两种方法都能快速恢复肺的通气,因此可以建立一种导致肿瘤决定性消退的照射方案。令人惊讶的是,尽管进行了小范围放疗,但仍有3例患者可以接受相当重要的肺手术,如肺叶切除术和全肺切除术,这些手术没有并发症或缺点。患者不经激光及后负荷治疗不能手术。该方法多次应用于食管癌、窦腔狭窄性癌等其他疾病的治疗。在这些病例中,由于肿瘤消退,可以迅速获得正常的摄食。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[New possibilities in radiotherapy of endobronchial tumors using the afterloading method in combination with laser technics].

New possibilities for radiotherapy of bronchial carcinomas are provided by the combined application of the recently introduced afterloading method used hitherto in the treatment of stenosing processes of bronchial carcinomas and the neodyme-YAG laser which opens the stenosis in such a manner that the afterloading probe can be inserted. This new method allows to perform without complications or disadvantages further combined therapies such as percutaneous irradiation (telecobalt, linear accelerator or betatron). An irradiation scheme leading to a decisive tumor regression can be established due to the fast reventilation of the lung obtained by both methods. Surprisingly, three patients could be submitted despite the small-field radiotherapy to rather important lung operations such as lobectomy and pneumonectomy which were performed without complications or disadvantages. The patients were not operable without laser and afterloading therapy. This method was applied several times in the treatment of other diseases such as oesophageal cancer and stenosing cancer of the antrum. In these cases, a normal ingestion due to tumor regression was obtained rapidly.

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