文档介绍：临床医学论文•图像重建联合立体定向放射治疗肺癌36例作者:范风云,张丙芳,陆军,魏文胜,石梅,南克俊【关键词】帅肿瘤【Abstract1AIM:Todiscusstheclinicaleffectsofimagereconstructionandstereotacticradiotherapyinthemanagementoflungcarcinoma・METHODS:(CTV),planningtumorvolume(PTV)anddose・,aseriesof5〜8fractionsofradiotherapywasconductedoncedailywith5〜:(KPS).PreradiotherapyKPSscoreswere50〜),whilethepostradiotherapyKPSscoreswere60-100().Fo11ow(6・36months)pleteremission,23casesofpartialremission,3casesofnochangeand4progressed,%.CONCLUSION:onstructionandstereotaxisradiotherapyhasexcellentshort-termcurativeeffectsinthetreatmentoflungcarcinoma.[Keywords]lungneoplasms;puterassisted;stereotaxictechniques;radiotherapy【摘要】Fl的:研究用图像重建方法放射治疗肺癌的临床疗效•方法:对36例肺癌患者采用CT定位2mm层厚连续扫描并通过计算机进行图像重建,确定临床靶体积(CTV),计划靶体积(PTV)及受累器官体积的照射量■体积直方图,然后应用德国Leibinger的立体定向系统和Varian600c或2300EX加速器进行放射治疗•采用屮等剂量,每次5~7Gy,每日1次,连续治疗5~8次•结果:36例肺癌无死亡病例,Karnofsky(KPS)评分放疗前50-90(平均672)分,放疗后60〜100(平均794)分•随访6~36(平均18)mo,通过CT复查,按