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1
題名:接受輻射治療之鼻咽腫瘤患者其視網膜病變之評估     (12點)
Radiation Retinopathy Following Radiation Therapy in Nasopharyngeal Tumor Patients
著者:張東杰(Tung-Chieh Chang) ;林淵謙(Iuan-Chian Lin) ;陳墩禄(Tun-Lu Chen) ;楊克仁(Keh-Ren Yang) ;陳麗惠(Li-Hui Chen) ;湯國政(Simon Gou-Jeng Tang)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:輻射性視網膜病變 ; 鼻咽腫瘤 ; 放射線治療 ; Radiation Retinopathy ; Nasopharyngeal tumor ; Radiotherapy
刊名:放射治療與腫瘤學
頁碼:203-208
語言:繁體中文
摘要: 中文摘要PDF ; 英文摘要PDF

我們回顧1 5 位鼻咽腫瘤﹒ 經眼底螢光攝影診斷有輻射視網膜病變的病人, 分析他們所接受的放射劑量及相關的危陵園子。 自1 9 8 4 年至1 9 9 2 年共有1 5 位病患( 2 6 隻眼睛) 被診斷有輻射性視網膜病變, 潛伏期從1 0 個月至72個月,中間(直是24個月,平均值為23個月。經分析計算後其所接受到的輻射劑量從2 2 6 2cGy 至5963 cGy ﹒ 中間值是3688 cGy .平均值為3 7 9 5 cG y 。有3位病人主隻眼睛除了靚網膜的血管病變外另有自內障的產生。於長期的追蹤期間. 26 隻眼睛中﹒ 視力有變化的有1 5 隻眼睛. 14 隻眼睛有視網膜病變惡化的情況。五位接受化學治療的病人其劑量及潛伏湖和其他病人並無顯著差異。有二位病人後來發現高血磨而接受內科治療。 我們在文中對輻射視網膜病變的輻射生物機總做一可能探討並回顧文獻。
With retrospective methods, 15 patients of radiation ret inopathy were diagnosed by fluor escein angiography in ophthalmology department in thos e patients who received rad iotherapy because of nasopharyngeal tumor. We anal yze the retina irradiation dose and the relati ve risk factors. Fifteen patients, 26 eyes of radiation retinopathy were found from 1984 to 1992.The median latent period was 20 months with the range of 10 to 72 months and the mea n was 24 months. The median retina irradiation dose was 3688 cGy ranging from 2262 cGy to 5963 cGy and th e mea n was 3795 cGy after retrospective treatment plan compute r analyses. Three patient s, 5 eyes had cataract formation in addition to the radiation retinopathy. Visual acuity change in 15 eyes and progressive retinopathy in 14 eyes wer e found after long term follow-up. Five patients with addi tional chemotherapy showed no significan t difference from other pat ients in term of the latent period anal irradiation dose for retinopathy. Hypertension was found in two patient s who took the medication in the later follow-up period. We discussed the possible mechanism in radiation biology and a review of the literature.


    

本卷期目次
放射治療與腫瘤學
Patterns of Pelvic Recurrence and Results of Salvage Treatment with Radiation Therapy for Recurrent Rectal Carcinoma/ Chong-Jong WangStephen Wan LeungHui-Chun ChenLi-Min SunFu-Min Fang
Postoperative Radiotherapy for Malignant Gliomas/ Shyh-An YehStephen Wan LeungLi-Mm SunChong-Jong WangHuey-Jiun ChenFu-Min Fang
維生素丙對鼷鼠放射線口腔黏膜炎修復與預防效應之研究/ 許文林黃經民任益民施榕平李恒昇李偉華
The Role of Epstein-Barr Virus Infection and the Immunocompetence of Patients with Nasopharyngeal Cancer/ Kuan-Chih ChowKuang Y. Chen
Curative Radiotherapy for Vocal Cord Carcinoma/ Weng Yih-ChyangJin-Ching LinJian-Sheng Jan
如何使用模擬攝影機之擋影托盤(shadow tray)确認擋塊位置/ 何聖佑鄭秀成雷德
Results of Radiation Therapy for Regional Stage T4 Nasopharyngeal Carcinoma/ Chi-Yuan YehYuen-Liang LaiChang-Hung ChungKou-Hwa ChangYih-Cherng Lai
醫用直線加速器系統構造與保養作業簡介/ 李財福梁雲王重榮許順能黃置柔吳嘉明
Postoperative Low Dose Single Fraction Irradiation for Prevention of Heterotopic Bone Formation after Hip Surgery/ Le-Jung WuSang-Hue YenTain-Hsiung ChenLing-Wei WangKwan-Hwa ChiKuang Y. Chen
C型行為與癌的關系-癌症心理學書評-/ 陳光耀
Study on Radiation Safety of High Dose Rate Multiple Cobalt-60 Sources Teletherapy Machine/ Sang-Hue YenYuh-Lin LeeLiung S. ChaoMax M. ChaoDavid HC PanKuang Y. Chen
接受輻射治療之鼻咽腫瘤患者其視綱膜病變之評估/ 張東杰林淵謙陳墩祿楊克仁陳麗惠湯國政
西藏癌症與衛生醫療現況/ 顏上惠劉淑娟陳光耀
維生素丙對所鼷鼠放射線口腔黏膜炎修復與預防效應之研究/ 詩文林黃經民任益民施榕平李恆昇李偉華
Curative Radiotherapy for Vocal Cord Carcinoma/ Yih-Chyang WengJin-Ching LinJian-Sheng Jan
Results of Radiation Therapy for Regional Stage T4 Nasopharyngeal Carcinoma/ Chi-Yuan YehYuen-Liang LaiChang-Hung ChungKou-Hwa ChangYih-Cherng Lai
接受輻射治療之鼻咽腫瘤患者其視網膜病變之評估/ 張東杰林淵謙陳墩禄楊克仁陳麗惠湯國政
Postoperative Low Dose Single Fraction Irradiation for Prevention of Heterotopic Bone Formation after Hip Surgery/ Le-Jung WuSang-Hue YenTain-Hsiung ChenLing-Wei WangKwan-Hwa ChiKuang Y. Chen
Patterns of Pelvic Recurrence and Results of Salvage Treatment with Radiation Therapy for Recurrent Rectal Carcinoma/ Chong-Jong WangStephen Wan LeungHui-Chun ChenLi-Min SunFu-Min Fang
Postoperative Radiotherapy for Malignant Gliomas/ Shyh-An YehStephen Wan LeungLi-Min SunChong-Jong WangHuey-Jiun ChenFu-Min Fang
Study on Radiation Safety of High Dose Rate Multiple Cobalt-60 Sources Teletherapy Machine/ Sang-Hue YenYuh-Lin LeeLiung S. ChaoMax M. ChaoDavid HC PanKuang Y. Chen
The Role of Epstein-Barr Virus Infection and the Immunocompetence of Patients with Nasopharyngeal Cancer/ Kuan-Chih ChowKuang Y. Chen
如何使用模擬攝影機之擋影托盤(shadow tray)確認擋塊位置/ 何聖佑鄭秀成雷德
醫用直線加速器系統構造與保養作業簡介/ 李財福梁雲王重榮許順能黃置柔吳嘉明
西藏癌病與衛生醫療現況/ 顏上惠劉淑娟陳光耀
C型行為與癌的關係--癌症心理學書評--/ 陳光耀
 
   
 
   

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