摘要
目的 观察食管癌二程放疗的疗效。方法 收集 1988年 1月至 1997年 12月收治的食管癌再程放疗患者 13 4例 ,均无锁骨上淋巴结、纵隔淋巴结和腹腔淋巴结转移 ,无其他脏器的转移 ,均经病理证实为鳞癌 ,采用模拟机定位 ,60 Co常规外照射 ,DT 5 6～ 66Gy ,中位剂量 60Gy。结果 1、3、5年生存率分别为 3 2 41%、17 5 1%、2 5 0 % ,仍健在 10例 ,统计分析显示 ,对生存有影响的因素有性别、复发间隔时间、再程放疗剂量 ,P值分别为 0 0 0 44、0 0 0 0 0、0 0 12 0。结论 食管癌再程放疗仍有很好的姑息治疗效果 ,特别是女性、复发间隔时间在 1年以上者。
Objective To observe the treatment effects of the second radiotherapy of esophageal carcinoma.Methods Collecting 134 patients of the second radiotherapy of esophageal carcinoma from January 1988 to December 1997, there were no bilateral supraclavicular metastasis, partial mediastinum metastasis, abdominal metastasis and other organmetastasis, all the patients are with thoracic esophagus, the radiation fields were decided by X-ray, radiotherapy by 60 Co, to the total dose of 56～66 Gy, medium dose of 60 Gy.Results The 1-,3-,5-year survival rates were 32.41%、17.51%、2.50%, 10 patients are alive.The sex,the time of the second radiotherapy, the second radiotherapy dose had independent prognostic value, P=0.0044、0.0000、0.0120.Conclusions The second radiotherapy is effective, it can effect a longer interval of higher surviv/al of female patients and survival for 1-year.
出处
《河南肿瘤学杂志》
2003年第6期428-429,共2页
Henan Journal of Oncology
