摘要在前列腺癌的放射治疗中，危及器官的保护管理至关重要。膀胱和直肠与前列腺的解剖位置紧密相邻，是前列腺癌放疗中的重要保护对象；随着放疗剂量的增加，可能会导致放射性膀胱炎和直肠炎等不良反应风险上升，严重影响患者的生活质量。本文综述了前列腺癌放射治疗中危及器官的管理策略，旨在有效降低膀胱和直肠的照射剂量，减少放疗不良反应的发生率，从而提升患者的生活质量。

abstractsThe organ-at-risk (OAR) sparing plays a critical role in radiotherapy for prostate cancer. Given their immediate proximity to the prostate gland anatomically, the bladder and rectum are identified as significant dose-sparing objects in radiotherapy for prostate cancer. Increasing radiation doses might lead to elevated risks of adverse reactions, such as radiation cystitis and proctitis, which significantly affect the quality of life (QoL) of patients. This paper reviews the OAR sparing strategies in radiotherapy for prostate cancer, aiming to effectively reduce radiation doses to the bladder and rectum and minimize the incidence of adverse reactions. This will help improve the QoL of patients.