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早期声门癌的放疗方法和疗效

Radiotherapy for early carcinoma ofglottis:treatment methods and results

  • 摘要: 1974年11月至1993年12月,收治T1N0M0声门癌31例,采用60钴和10MV-X线,大野照射40GY/4周后,缩野再照射20~30GY/2~3周,放疗前或放疗开始给予消炎、脱水治疗和减少声带疲劳,结果,除1例生存6年8个月后复发,行全喉切除,目前已生存10车7个月外,其余均无复发。其生存3、5、10、15年者分别为28/28、16/16、10/11、3/3,生存时间最长者已逾19年。提示:I期声门癌应首选放疗。

     

    Abstract: From Nov .1974 through Dec.1993,31 patients with T,NoMo glottic carcino-ma were treated in our hospital with 600C or lOMV x-ray.Give continuously through area-reduced fields (small field)after completing DT 40GY/4wk through large field .At the same time vocal rest were given .The result showed that ,infection control dehydration and ,years survival rates were 28/28,16/16,10/11,3/3 respectively.Among them,one received total la-ryngectomy after recurrence 6 years and 8 months later,and has lived for 10 years and 7 months·The longerest survival periods was 19 years·It is suggested that ra-diotherapy were the first selection to stage I glottic carainoma.

     

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