王佩国, 王平. 56例脑星形细胞瘤术后放疗预后因素分析[J]. 中国肿瘤临床, 2005, 32(12): 692-693,696.
引用本文: 王佩国, 王平. 56例脑星形细胞瘤术后放疗预后因素分析[J]. 中国肿瘤临床, 2005, 32(12): 692-693,696.
Wang Pei-guo, Wang Ping. Analysis of the Prognostic factor for Postoperative Radiotherapy on Astrocytoma: A Report of 56 Cases[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2005, 32(12): 692-693,696.
Citation: Wang Pei-guo, Wang Ping. Analysis of the Prognostic factor for Postoperative Radiotherapy on Astrocytoma: A Report of 56 Cases[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2005, 32(12): 692-693,696.

56例脑星形细胞瘤术后放疗预后因素分析

Analysis of the Prognostic factor for Postoperative Radiotherapy on Astrocytoma: A Report of 56 Cases

  • 摘要: 目的:分析影响脑星形细胞瘤术后放疗的预后因素。方法:对术后病理证实的脑星形细胞瘤术后放疗56例,采用4~6MV高能X线常规分次照射,先全脑照射30~35Gy后局部追加20~30Gy,靶区剂量50~60Gy,部分病例未做全脑放疗,只做单野照射。结果:全组总的5年生存率为41.1%,其中病理Ⅰ~Ⅱ级、年龄50岁以下、术后30天以上开始放疗者预后好,生存率差异有统计学意义(P<0.05)。结论:患者年龄、病理分级及手术与放疗间隔是影响术后放疗的主要预后因素。

     

    Abstract: Objective : To evaluate the prognostic factors for patients with astrocytoma treated by postoperative radiotherapy. Methods : A total of 56 cases with pathological evidence were studied retrospectively, of which 35 underwent the subtotal resection, 21 had grossly total resection, 22 were grade Ⅰ~Ⅱand the other 34 were grade Ⅲ~Ⅳ. The operation radiotherapy interval was less than 30 days in 21 cases out of 56. Patients of all cases received the conventional fractionated irradiation with a 4~6MV high -energy x-ray. The whole brain irradiation with an absorbed dose of 30 to 35Gy was conducted,then the local boost with 20 to 30Gy. The dose for target area was 50 to 60 Gy. Part of the cases did not receive the whole brain irradiation but single port exposure only. Results : The five -year survival rate of the group was 41.1N, among which the prognosis for those with the low pathological grade ( Ⅰand Ⅱ), an age below 50 and a longer interval (30 days and over after surgical operation) before postoperative radiotherapy would be better than the controls. There was a statistically significant difference for the survivals (P<0.05). Conclusion : The patients’ age, pathological grade and the interval between operation and radiotherapy are the major prognostic factors.

     

/

返回文章
返回