复发晚期直肠癌的姑息性放疗：（附14例临床分析）

报告北京协和医院放疗科１９８１年至１９９０年对１４例晚期复发的直肠癌患者放疗的效果。本组病人年龄３１～６０岁，男女各７例。放疗结束时病人会阴区疼痛症状完全及部分缓解达１００％，２例便血症状得到控制。经随诊，无症状生存达３个月者１０例，无症状生存达半年者４例，全组病人平均生存达１４个月。作者分析并认为对晚期复发的直肠癌患者的放疗，意在姑息减症，放疗剂量不宜过高。放疗安全无明显并发症，对提高病人生存质量，是一种有效的治疗姑息手段。

Palliative Radiotherapy of Recurrent Advanced Rectal Cancer.Clinical Analysis of 14 Cases

From May 1981 to May 1990,14 patients with post-operative recurrent rectal carcinoma were treated by radiotherapy in our department of B.U.M.U.Hospital.7 patients were males and 7 females,age ranged from 31 to 60 years.The results showed that the remission rate of perineal pain and bleeding were 100% effective at the end of radiation therapy,and the asymptomatic survival within 3 months was 70% with 30% of the patients up to 6 months.The median survival period was 14 months.The dose used in 13 patients was 40 to 60 Gy.The authors believe that the local dose in excess of 60 Gy should not be used.It is concluded that radiotherapy is very effective to improve the quality of life for patients with recurrent rectal carcinoma.