Non-small cell lung cancer three-dimensional conformal radiation therapy care.doc

 PAGE \* MERGEFORMAT 6 Non-small cell lung cancer three-dimensional conformal radiation therapy care [Keywords:] lung cancer, radiation therapy, nursing Three-dimensional conformal radiation therapy of lung cancer side effects, has become a non-small cell lung cancer (NSCLC mainstream of radiation therapy [1]. Our department from January 2007 to January 2008 using three-dimensional conformal radiation therapy for NSCLC patients with 586 cases made good results. now reported as follows Nursing. 1 Materials and Methods 1.1 Clinical data 586 cases of this group of patients, male 310 cases, 276 cases female, aged 25 to 86 years old. All patients were pathologically diagnosed NSCLC, including squamous cell carcinoma 321 cases, 215 cases of adenocarcinoma of the other 50 cases. All the patients were not surgery. 1.2 Treatment Patients with first PET / CT or CT localization, low-temperature hydrolysis of polymer plastic membrane fixed position, laser lights and positioning the body in the chest on both sides of the midline and placed the metal tag. IV injection of contrast medium iohexol after breathing in a calm under the CT positioning scan. CT, PET / CT data to the ADAC Pinnacle 3 dimensional treatment planning system, by two doctors outlined target and organs at risk. planning target volume (PTV on the basis of the gross tumor volume expansion around the outer 1.0 cm, from top to bottom expanding outside 1.5 cm, and then radiation dose distribution program design and adjusted to 95% isodose surface covers 100% PTV. SIEMENS company PRIMUS linear accelerator using 6 MV X ray, 5 ~ 7 coplanar or non-coplanar conformal radiation field irradiation, DT for the 59 ~ 69 Gy, each 2.5 ~ 3.0 Gy, 5 to 6 times per week. isodose by DVH graph index curves and evaluation of conformal treatment planning. control of the spinal cord, lung, esophagus and other organs at risk by the volume. 2 Results Radiation therapy 3 months after the end of term efficacy s