体部伽玛刀治疗原发性肝癌41例临床报告

Clinical Report of 41 Cases of Primary Hepatic Carcinoma Treated With Body Gamma Knife

目的分析体部伽玛刀治疗原发性肝癌的临床效果。方法采用OUR-QGD型体部伽玛刀治疗,以50%~70%等剂量包饶计划靶区,总剂量30~50 Gy,分割处方剂量3.0~5.1 Gy,治疗次数为8~12次,每日1次,每周连续治疗5次。结果治疗后1~6个月CR26.8%（11/41）,PR 51.2%（21/41）,总有效率为78%（32/41）,1年生存率65.9%。结论使用伽玛刀对原发性肝癌进行治疗,疗效比较满意,说明伽玛刀对于原发性肝癌是比较好的局部治疗方法,近期疗效较理想,但远期疗效还有待于进一步观察、跟踪、研究。

Objective To study the clinical effects of body gamma knife treatment of primary liver cancer. Methods OUR-QGD type body gamma knife treatment, 50% to 70% isodose package Rao planning target volume, total dose of 30~50Gy, split prescription dose 3.0~5.1Gy, treatment times of 8 to 12 times, 1 day, 5 times a week of continuous treatment. Results After 1 to 6 months CR26.8%（11/41）, PR 51.2%（21/41）, the total effective rate was 78%（32/41）, 65.9% 1-year survival. Conclusion The use of gamma knife treatment of primary liver cancer, the efficacy is quite satisfactory, indicating that gamma knife for primary liver cancer is relatively good topical treatment, an ideal short-term effect, but long-term efficacy remains to be seen, tracking study.