摘要
目的评价Ⅰ～Ⅱ期食管癌根治术后放射治疗的价值。材料与方法１９８７年１月至１９９１年６月共收治１０３例术后病理为Ⅰ～Ⅱ期的食管癌。病人单纯手术７２例，术后放疗３１例，放疗剂量５０～６０Ｇｙ。结果术后随访≥５年，４７例复发，复发与ＴＮＭ分期有关，区域淋巴结和食管瘤床失败与食管原发部位有显著关系。单纯手术组，１，３，５年生存率为８７．５％、６９．４％、４１．７％；术后放疗组１，３，５年生存率为９０．３％、８３．９％、７４．２％，两组差异有显著性意义（Ｐ＜０．０１）。结论术后放疗复发率低，术后放疗组５年生存率高于单纯手术组。
Purpose To evaluate radiotherapy after operation for stage Ⅰ and Ⅱ esophageal carcinoma.Materials and Methods Between January 1987 and June 1991,103 cases of esophageal carcinoma were proved to be stage Ⅰ and Ⅱ after operation,72 patients treated by operation alone,31 patients by postoperative radiotherapy. The radiation dose was 50～60 Gy. Results Within 5 years of operation,47 cases have failed.The failure was closely related to TNM staging.The regional and esophageal bed failure were obviously related to the site of the original lesion.The 1,3and 5year survival rates of operation group were 87.5%,69.4%,41.7%,of postoperative radiotherapy were 90.3%,83.9%,74.2%(P<0.01). Conclusion The incidence of recurrence was lower in those who received postoperative radiotherapy than those who did not.The 5year survival rate was higher in patients who received postoperative irradiation.
出处
《中华放射肿瘤学杂志》
CSCD
北大核心
1998年第1期46-48,共3页
Chinese Journal of Radiation Oncology
关键词
食管肿瘤
手术后
放射疗法
Esophageal carcinoma Postoperative radiotherapy
