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晚期食管癌术前加速放疗68例疗效分析
引用本文:陈意红. 晚期食管癌术前加速放疗68例疗效分析[J]. 皖南医学院学报, 1999, 18(4): 271-272,275
作者姓名:陈意红
作者单位:Dept of Radiotherapy center,Yijishan Hospital,Wannan Medical College,Wuhu 241001
摘    要:对143 例食管癌进行分组治疗对比,术前加速放疗组68 例,术前行加速放疗,2 周内照射总量40Gy,放疗后2~4 周行食管癌根治术。单纯手术组75 例。手术切除率:术前放疗组95-6% (65/68) ,单纯手术组94-7% (71/75) 。1 年、3 年生存率:术前加速放疗组为77-9% 和61-8% ,而单纯手术组为65-3% 和38-7% ,吻合口瘘发生率:术前放疗组6-2% ,单纯手术组7% ,结果表明术前加速放疗不影响手术切除也不增加术后并发症。

关 键 词:食管肿瘤  术前放射疗法  外科学手术

Preoperative Irradiation Combined with Surgery in Treatment of Esophageal Carcinoma: A Report of 68 Cases
Chen Yihong. Preoperative Irradiation Combined with Surgery in Treatment of Esophageal Carcinoma: A Report of 68 Cases[J]. Acta Academiae Medicinae Wannan, 1999, 18(4): 271-272,275
Authors:Chen Yihong
Abstract:the patients were divided into two groups: Group Ⅰ(68 cases ) was treated by preoperative radiotherapy(DT 40Gy 20times/2weeks) ,follwed by surgery with an interval of 2 weeks. Group Ⅱ(75 cases ) was treated by surgery alone. The 1 and 3 and 5 year survival rates were respectively 77.9% and 61.8% , 30.8% in Group Ⅰ and 65.3% and 38.7%, 25.4% in Group Ⅱ. Anastomotic leak was 6.2% and 7% in Group Ⅰand Ⅱ respectively. The authors believe that the therapeutic result of Group Ⅰ is better than Group Ⅱ
Keywords:esophageal neoplasms  preoperative radiotherapy  surgery   operative
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