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首页> 外文期刊>Radiotherapy and oncology: Journal of the European Society for Therapeutic Radiology and Oncology >Hyperbaric oxygen therapy in the treatment of radio-induced lesions in normal tissues: a literature review.
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Hyperbaric oxygen therapy in the treatment of radio-induced lesions in normal tissues: a literature review.

机译:高压氧疗法治疗正常组织中放射性诱发的病变:文献综述。

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摘要

Late complications are one of the major factors limiting radiotherapy treatment, and their treatment is not codified. Hyperbaric oxygen (HBO) has been used in combination with radiotherapy for over half a century, either to maximise its effectiveness or in an attempt to treat late complications. In this latter case, retrospective trials and case reports are prevailing in literature. This prompted European Society for Therapeutic Radiotherapy and Oncology and European Committee for Hyperbaric Medicine to organise a consensus conference in October 2001, dealing with the HBO indications on radiotherapy for the treatment and prevention of late complications. This updated literature review is part of the documents the jury based its opinion on. A systematic search was done on literature from 1960 to 2004, by only taking into account the articles that appeared in peer review journals. Hyperbaric oxygen treatment involving complications to the head and neck, pelvis and nervous system, and the prevention of complications after surgery in irradiated tissues have been studied. Despite the small number of controlled trials, it may be indicated for the treatment of mandibular osteoradionecrosis in combination with surgery, haemorrhagic cystitis resistant to conventional treatments and the prevention of osteoradionecrosis after dental extraction, whose level of evidence seems to be the most significant though randomised trials are still necessary. The other treatment methods are also outlined for each location.
机译:晚期并发症是限制放疗治疗的主要因素之一,其治疗方法尚不明确。高压氧(HBO)已与放射疗法结合使用了半个多世纪,以最大化其有效性或尝试治疗晚期并发症。在后一种情况下,回顾性试验和病例报告在文献中占主导地位。这促使欧洲放射治疗和肿瘤学学会和欧洲高压医学委员会于2001年10月组织了一次共识会议,讨论HBO放射疗法治疗和预防晚期并发症的适应症。这份最新的文献综述是陪审团根据其意见发表的文件的一部分。 1960年至2004年间,仅考虑了同行评议期刊中的文章,就对文献进行了系统的搜索。已经研究了高压氧治疗,涉及头颈部,骨盆和神经系统的并发症,以及在照射后的组织中预防术后并发症的发生。尽管有少量的对照试验,但它可能被建议用于联合手术治疗下颌骨骨坏死,对常规治疗有抵抗力的出血性膀胱炎以及拔牙后预防骨放射性坏死的证据,尽管是随机的,其证据水平似乎是最重要的审判仍然是必要的。还针对每个位置概述了其他处理方法。

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