Radiation Oncology Chulolongkorn University

Complications and Therapeutic Ratio

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à¡Ô´¢Öé¹¹éÍ·ÕèÊØ´21-22 ¨Ò¡¡ÒÃÈÖ¡ÉҢͧ Massachusetts General Hospital (MGH) 㹡ÒÃãËé
postoperative irradiation ã¹¼Ùé»èÇÂÁÐàÃç§ÅÓäÊéãË­èÊèǹ rectum â´Â¡ÒÃãªéÅÓÃѧÊÕËÅÒÂ æ ·ÔÈ·Ò§
ÃèÇÁ¡Ñº¡ÒÃãªéµÐ¡ÑèǻԴ¡Ñé¹ÍÇÑÂÇзÕèäÁè¨Óà»ç¹µéͧ¶Ù¡ÃѧÊÕ (multiple field techniques with lead shield)
áÅÐãË餹ä¢éÍÂÙèã¹ÀÒÇзÕèÁÕ¹éÓ»ÑÊÊÒÇÐàµçÁ¡ÃÐà¾ÒлÑÊÊÒÇÐ (Full bladder) ¾ºÇèÒÍغѵԡÒâͧ¡ÒÃà¡Ô´
ÅÓäÊéàÅç¡ÍØ´µÑ¹ (small bowel obstruction) «Ö觵éͧá¡é䢴éÇ¡Ò÷ӼèҵѴã¡Åéà¤Õ§¡Ñ¹ÃÐËÇèÒ§¡Ò÷ӼèҵѴÍÂèÒ§à´ÕÂǡѺ¡ÅØèÁ·ÕèãËé postoperative irradiation ¤×Í 5% áÅÐ 6% µÒÁÅӴѺ12,13,18 áµè¶éÒà»ç¹¡ÅØèÁ·Õèä´é·Ñé§ postoperative irradiation áÅÐ Chemotherapy ÍÂèÒ§àªè¹ã¹¡ÒÃÈÖ¡ÉҢͧ GITSG áÅÐ Mayo/NCCTG trial18,19 ¨Ð¾ºÇèÒÁռŢéÒ§à¤Õ§·ÕèÃعáç¨Ò¡¡ÒÃÃÑ¡ÉÒÊÙ§¡ÇèÒàÁ×èÍà»ÃÕºà·Õº¡Ñº¡ÅØèÁ·Õè©ÒÂÃѧÊÕÍÂèÒ§à´ÕÂÇ àªè¹ ÍÒ¡Ò÷éͧà´Ô¹ÍÂèÒ§Ãعáç (severediarrhea) 20% VS 5%, àÁç´àÅ×Í´¢ÒǵèÓ (white blood cell count) <2,000 18% VS 0% à»ç¹µé¹

Last modified on 25 October 1996