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中华放射肿瘤学杂志
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中华放射肿瘤学杂志  2016, Vol. 25 Issue (1): 18-19    DOI: 10.3760/cma.j.issn.1004-4221.2016.01.005
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利用条形码标识放疗患者的计划报告
王忠文,林治学,宋歌,贺蕾,谭力
110042沈阳,辽宁省肿瘤医院放疗科
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摘要 条形码是将宽度不等的多个黑条和空白,按照一定编码规则排列,用以表达一组信息的图形标识符。常见的一维条形码是由反射率相差很大的黑条(简称条)和白条(简称空)排成的平行线图案。条形码是迄今为止最经济、最实用的一种自动识别技术[1]。条形码技术具有输入速度快、可靠性高、易用性好、性价比高等特点。条形码在社会各界早已普遍应用,但在医院应用并不普及。目前医院所使用条形码技术多是为每一患者打印多个不干胶粘贴的条形码标签,在患者的各种诊断及治疗材料上粘贴[2-3]。这种方法与之前通过工作人员手工敲键盘方式相比已经极大提高了工作效率和准确性,但操作过程中毕竟要手工粘贴条形码标签,不可避免出现人为错误,且粘贴标签后的患者资料不规整、不美观。
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作者相关文章
王忠文
林治学
宋歌
贺蕾
谭力
关键词 小细胞肺/化学疗法小细胞肺/放射疗法预后    
Abstract: Objective To investigate the maximum-tolerated dose (MTD) and target volume of postoperative prophylactic concurrent radiochemotherapy for lymph node-positive esophageal squamous cell carcinoma. Methods In this phase Ⅰ clinical study,the 33 patients who had middle-lower thoracic esophageal squamous cell carcinoma with lymph node metastasis and received radical surgery in our hospital from July 25,2007 to December 31,2011 were enrolled. The median age was 52 years. The patients of T3+T4 stage were 76%.The 33 patients were randomly divided into 60 Gy/2.0 Gy/30f (n=18) and 54 Gy/1.8 Gy/30f (n=15) for radiotherapy,and cis-platinum 20 mg/m2 per week+Taxol 20,30,40,50 mg/m2 per week (1 weeks and 3 patients,respectively) were used in 5-6 consecutive weeks for concurrent chemotherapy. MTD was determined when grade 4 leucopenia,grade ≥3 reduction in hemoglobin and platelet,or grade ≥3 non-hematological toxicities occurred with CTCAE3.0 standard. Results In the group with a dose of 60 Gy/2.0 Gy/30f for radiotherapy,the initial dose of paclitaxel was 20 mg/m2 per week for concurrent chemotherapy,one patient experienced a dose-limiting toxicity (DLT) of grade 3 loss of body weight,and then another three patients experienced the same toxicit+T6y,among whom one experienced grade 4 leucopenia;thus,the dose escalation study failed. In the group with a dose of 54 Gy/1.8 Gy/30 f for radiotherapy,one patient experienced paclitaxel allergy and discontinued chemotherapy,and the dose of 20-40 mg/m2 per week escalation study was successful for each dose group;however,a paclitaxel dose of 50 mg/m2 per week,2 out of 3 patients experienced grade 4 leucopenia and grade 3 decrease in platelet,and therefore,the dose escalation study was terminated;MTD was determined as paclitaxel 40 mg/m2 per week plus cisplatin 20 mg/m2 per week for 5-6 consecutive weeks. CTV was also reduced,with the superior border of the thoracic vertebra T1 as the upper boundary and 3 cm below the tumor bed as the lower boundary,and the radiotherapy dose was 60 Gy/2.0 Gy/30f;none of the 12 patients in dose escalation study experienced DLT,and the dose escalation study was successfully completed. The average planning target volume and the mean dose to the remnant stomach were reduced significantly after adjustment of the radiation field (P=0.006 and 0.013,respectively). Conclusions The regimen of paclitaxel plus cisplatin in the postoperative prophylactic concurrent radiochemotherapy for middle-lower thoracic esophageal squamous cell carcinoma is safe and effective when CTV is reduced reasonably.
收稿日期: 2014-06-19     
引用本文:   
王忠文,林治学,宋歌等. 利用条形码标识放疗患者的计划报告[J]. 中华放射肿瘤学杂志, 2016, 25(1): 18-19.
$author.xingMing_EN,$author.xingMing_EN,$author.xingMing_EN et al. [J]. Chinese Journal of Radiation Oncology, 2016, 25(1): 18-19.
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