摘要
目的观察食管癌根治性放疗后复发患者行手术切除的临床效果。方法随机选取我院收治的60例行根治性放疗后复发患者,分为A组与B组,各30例。A组行再程放疗,B组行手术切除,就术后并发症、再放疗不良反应及治疗后随访3年复发率、总生存率与无病生存率施以对比。结果 A组7例患者出现不良反应,B组7例患者出现术后并发症。随访3年A组的复发率为83.33%显著高于对照组的43.33%(P<0.05);两组随访1、2、3年总生存率无显著差异(P>0.05),而无病生存率则显著高于对照组(P<0.05)。结论食管癌根治性放疗后复发患者施行手术切除复发率较低,且患者的无病生存率高,值得在临床推广应用。
Objective To observe the esophageal cancer recurrence after radical radiotherapy in patients with the clinical effect of surgical resection. MethodsRandomly selected from our hospital in 60 patients with recurrence after radical radiotherapy, routine were divided into group A and group B, 30 cases each. Line to routine radiotherapy group A and group B surgical resection, postoperative complications, and longer follow-up of 3 years after radiotherapy side effects and the recurrence rate, overall survival and disease-free survival rates with contrast. Results 7 cases of patients experienced side effects of group A and group B 7 cases of patients with postoperative complications. Follow-up of 3 years recurrence rate was 83.33% in group A was significantly higher than that of control group 43.33%（P〈0.05）; two follow-up of 1, 2, 3-year overall survival was no significant difference（P〈0.05）, but no disease-free survival is significantly higher（P〉0.05）. Conclusion Esophageal cancer radical surgery resection in patients with recurrence after radiotherapy recurrence rate is low, and disease-free survival in patients with high, is worth popularizing in clinical application.
出处
《中国医药指南》
2015年第25期32-33,共2页
Guide of China Medicine
关键词
食管癌
局部复发
放疗
手术切除
Esophageal cancer
Local recurrence
Radiation therapy
Surgery
