摘要
本院从1978年3月至1980年3月期间用电子直线加速器(10 MV X线)治疗66例食管癌及同期不加选择的^(60)Co治疗76例食管癌进行对比分析,现报道如下: 临床资料病例的选择条件是:(1)所有病例均经X片诊断;(2)125例(88％)经脱落细胞及病理诊断证实,其余17例(12％)无病理诊断;(3)除2例术前放疗肿瘤量为3850 cGy外,余均在4000 cGy以上,大部分在6500～7500cGy之间。一、性别与年龄 10 MV X线组(下称加速器组)男52例,女14例,^(60)Co γ线组(下称钴组)男68例,女8例,两组共男120例,女22例,男与女之比为5.45:1,与上海报告的5.4:1相仿。
Sixty-six cases and another 76 cases of esophageal carcinoma were treated with 10 MV X-ray and colbalt-60 γ-ray respectively during the period from March, 1978 to March, 1980 in Hang- zhou Cancer Hospital. The 1, 3 and 5 year survival rates in the linear accelerator group were 37.9%, 15.2% and 10.6%.and those in the colbalt group 40.8%, 9.2% and 6.6% respectively, there being no signif- icant difference. At the end of the radio therapy, better improvement of clinical symptoms was seen in the linear accelerator group and the linear accelerator group showed a much better turn confirmed by X-ray exam (78.8% ) than the colbalt group (38.2% ) (P<0.001). The side-reaction was lighter in the linear accelerator group than in the colbalt group. The incidence of radiation esophagitis was higher in the linear accelerator group (37.9% ) than in the colbalt group (13.2% ) (P<0.01). A comparative dicussion on complications after radio therapy and distant metastasis has also been made.
出处
《实用肿瘤杂志》
CAS
北大核心
1989年第4期210-212,共3页
Journal of Practical Oncology
