宫颈癌盆腔器官测量数据分析

Data analysis of pelvic organs in radiotherapy for cervical cancer

  • 摘要: 目的 研究盆腔内器官(子宫、直肠和膀胱)与体中线的位置差异,了解常规放疗子宫颈癌体中线挡野是否能完全遮挡直肠。方法 分析25例子宫颈癌患者CT定位图像,分别测量体中线至双侧子宫颈、子宫底、直肠和膀胱边缘以及双侧输尿管距离。结果 体中线距左侧宫颈边缘14.74-50.84(31.42±8.93)mm,距右侧宫颈边缘0-49.9(26.32±13.60)mm;距左侧宫底7.57-61.80(29.62±14.96)mm,距右侧宫底1.76-51.38(25.22±16.46)mm;体中线距直肠左侧边缘-7.90-29.12(13.79±7.53)mm,距右侧边缘3.80-28.91(12.38±9.91)mm;体中线距膀胱左侧边缘23.12-50.00(41.77±7.25)mm,距右侧边缘22.74-55.97(45.31±7.54)mm;腰4椎体中线距左侧输尿管12.73-43.19(32.44±6.85)mm,距右侧输尿管26.70-48.41(33.02±5.11)mm。结论 子宫颈癌常规盆腔照射体中线挡铅4cm,32%患者的直肠不能完全被保护。

     

    Abstract: Objective To observe the different distances from pelvic organs(such as uterus, rectum and bladder) to body median line, and to find whether the body median line can completely shield the rectum during routine radiotherapy for cervical cancer. Methods CT images of 25 cervical cancer patients were analyzed. The distances from body median line to bilateral uterine neck and fundus, rectum, bladder edge and ureter, were measured respectively. Results The distance from the body median line to the left and right sides of uterine neck and fundus, rectum and ureter margins was 14.74-50.84(31.42±8.93)mm and 0-49.9(26.32±13.60)mm, 7.57-61.80(29.62±14.96)mm and 1.76-51.38(25.22±16.46)mm,-7.90-29.12(13.79±7.53)mm and 3.80-28.91(12.38±9.91)mm, 23.12-50.00(41.77±7.25)mm and 22.74-55.97(45.31±7.54)mm, respectively. The distance from the body median line at L4 to the left and right ureter was 12.73-43.19(32.44±6.85) and 26.70-48.41(33.02±5.11)mm, respectively. Conclusion The rectum cannot be protected in 32% of cervical cancer patients when pelvic cavity is irradiated using a 4cm shield at the body median line.

     

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