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在晚期胃癌中控制出血;放射治疗的作用
Asifa Andleeb1, Kaneez Fatima1, Shahida Nasreen1
1Department of Radiation Oncology, Sheri-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India.
Indian journal of palliative care
|September 13, 2023
概括
息性放射治疗有效控制了晚期胃癌患者的出血. 这种治疗改善了血红蛋白水平,减少了对输血的需求,在其他方法不可行时提供了可靠的选择.
科学领域:
- 在瘤学瘤学.
- 辐射疗法 辐射疗法
- 胃肠病学 胃肠病学
背景情况:
- 晚期胃癌 (AGC) 往往呈现出危及生命的瘤出血.
- 在AGC中控制出血对于患者的管理和生活质量至关重要.
研究的目的:
- 评估息性放射治疗 (RT) 在控制晚期胃癌 (AGC) 患者瘤出血方面的疗效.
主要方法:
- 74名患有活跃出血的AGC患者的回顾性审查,接受了息性RT治疗.
- 通过主观症状缓解和血红蛋白 (Hb) 水平的客观变化以及红细胞 (RBC) 输血需求来评估反应.
主要成果:
- 观察到血液静止RT的响应率为70.27%.
- 平均Hb水平显著增加 (从6.14到7.19g/dL,P<0.05) 和输血红细胞单位显著减少 (从8.28到4.34单位,P<0.05).
- 平均整体存活时间为90天,无输血存活时间为40天.
结论:
- 息性RT是一种有效的治疗方法,用于控制AGC的出血.
- RT提供相当持久的血液静止,成功率为70.24%,改善Hb水平并减少输血需求.
- 这种模式在替代出血控制方法不可行时特别有价值.
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