立体定向放射治疗非小细胞肺癌的有效性及安全性研究OA
Study on the Efficacy and Safety of Stereotactic Radiotherapy for Non-Small Cell Lung Cancer
目的 研究立体定向放射治疗非小细胞肺癌的有效性及安全性.方法 选取 2021 年 6 月至 2024 年 2 月我院收治的非小细胞肺癌患者 76 例,随机分为两组各 38 例.对照组采用常规放射治疗,观察组采用立体定向放射治疗.对比两组的临床疗效、肿瘤标志物[血清癌胚抗原(CEA)、糖类抗原 125(CA125)、糖类抗原 153(CA153)]水平、循环肿瘤细胞(CTCs)、胸苷激酶(TK1)、肺功能[最大通气量(MVV)、第 1 秒用力呼气容量(FEV1)、用力肺活量(FVC)]水平、不良反应、生活质量综合评定问卷(GQOLI74)评分.结果 观察组的治疗效率为 63.16%,高于对照组的 39.47%(P<0.05).治疗后,与对照组比,观察组的CEA、CA125、CA153、CTCs、TK1 水平较低,MVV、FEV1、FVC水平较高(P<0.05).观察组治疗后的躯体功能、心理功能、健康状况、社会功能评分较对照组高(P<0.05).两组的不良反应发生率比较,差异无统计学意义(P>0.05).结论 立体定向放射治疗非小细胞肺癌患者的效果显著,可降低其肿瘤标志物水平,改善其肺功能,提高其生活质量,安全性较佳.
Objective To study the efficacy and safety of stereotactic radiotherapy for non-small cell lung cancer.Methods 76 patients with non-small cell lung cancer admitted to our hospital from June 2021 to February 2024 were selected and randomly divided into two groups,with 38 cases in each group.The control group received conventional radiotherapy,and the observation group received stereotactic radiotherapy.The two groups in terms of efficacy,tumor marker[serum carcinoembryonic antigen(CEA),glycocalyx antigen 125(CA125),glycocalyx antigen 153(CA153)]levels,circulating tumor cells(CTCs),thymidine kinase(TK1),lung function[maximal ventilation volume(MVV),exertional expiratory volume in the 1st second(FEV1),and exertional lung capacity(FVC)]levels,adverse reactions,and quality of life composite rating questionnaire(GQOLI74)scores were compared.Results The effective rate of the observation group was 63.16%,higher than 39.47%of the control group(P<0.05).After treatment,compared with the control group,the observation group had lower CEA,CA125,CA153,CTCs,and TK1 levels,and higher MVV,FEV1,and FVC levels(P<0.05);the somatic function,psychological function,health status,and social function scores in the observation group were higher than those in the control group(P<0.05);no significant difference was found in terms of adverse reactions between the two groups(P>0.05).Conclusions Stereotactic radiotherapy for non-small cell lung cancer patients is effective,which can reduce the level of tumor markers,improve the lung function,and enhance the quality of life with favorable safety.
齐登高;任中海;尉迟芸耸
南阳市中心医院 肿瘤放疗科,河南 南阳 473000南阳市中心医院 肿瘤内科,河南 南阳 473000南阳市中心医院 肿瘤放疗科,河南 南阳 473000
医药卫生
非小细胞肺癌立体定向放射治疗肺功能
Non-small cell lung cancerStereotactic radiotherapyLung function
《临床医学工程》 2026 (2)
167-170,4
南阳市科技发展计划项目(23KJGG100)
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