降低乳腺癌放疗心脏损伤相关治疗措施的研究进展

doi:10.11904/j.issn.1002-3070.2016.02.021

摘要/Abstract

摘要： 乳腺癌放疗后患者长期受到心脏损伤的影响,心脏损伤涉及很多结构,包括冠状动脉、心肌、传导系统、心包及瓣膜等。这些损伤增加了放射相关性心脏病的风险,从而影响患者的远期生存率和生活质量。随着现代放射治疗技术、物理学及其他各项技术的发展,乳腺癌患者放射治疗后发生心脏损伤的几率明显降低。本文针对降低乳癌患者放疗心脏损伤的各项技术及治疗措施(包括乳腺托架定位及俯卧位放疗、3DCRT及IMRT放射治疗、呼吸门控技术、大分割放疗、加速部分乳腺放疗及质子治疗等)做一综述。

关键词: 乳腺放疗, 心脏损伤, 治疗措施

Abstract: Long term cardiac effects are an important component of survivorship after breast radiotherapy.Cardiac injury has been described involving essentially almost all structures of the heart,including the coronary arteries,myocardium,conduction systems,pericardium and valves.These injuries have increased the risk of heart disease,which affects the long term survival and quality of life.With the development of modern radiation therapy technology,physics and other technologies,the incidence of cardiac injury in the patients with breast cancer after radiotherapy has been significantly reduced.The paper is a review of the techniques and treatment measures(including breast board,prone positioning,3DCRT,IMRT,DIBH,Hypofractionation radiotherapy,APBI and protons radiotherapy)for reducing cardiac injury in the patients with breast cancer undergoing radiotherapy.

Key words: Breast radiotherapy, Cardiac injury, Therapeutic measure

中图分类号:

R730.55

林权综述, 鄂明艳审校. 降低乳腺癌放疗心脏损伤相关治疗措施的研究进展[J]. 实用肿瘤学杂志, 2016, 30(2): 189-192.

LIN Quan, E Mingyan. Research progress on the treatment of reducing cardiac injury related to breast cancer radiotherapy[J]. PRACTICAL ONCOLOGY JOURNAL, 2016, 30(2): 189-192.

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